Dog Registration Form | Rain & Winds

Owners Name *

Mobile Number *

Email address *

Address *

Emergency Contact Name *

Emergency Contact Number *

Dog Name *

Dog Breed *

Dog Sex *

Intact Male
Intact Female
Neutered Male
Spayed Female

Is your dog fully vaccinated and had it's annual booster? *

Yes
No - If your dog is not fully vaccinated, walks may be adjusted accordingly. Rain & Winds cannot be held for responsible for illness arising where vaccination protection is incomplete.

Does your dog have a microchip with upto date information? *

Yes
No - Rain & Winds Pet Care cannot be held liable for issues arising from inaccurate or incomplete microchip information.

Known Medical Conditions (if none, please confirm) *

Allergies (if none, please confirm) *

Medications (If none, please confirm) *

Does your dog have any recall ability? *

Yes - Good Reliability
Yes - Unreliable
No

Cue to come back is... *

Name call
Whisle
Other

Further Recall Info

In a quet area with no distractions, dog will... *

Return on cue first time
Hesitate but return
Return after repeated cues
Ignore recall
Other

If other, please give further information

Dogs recall breaks when... *

Playing with other dogs
Sniffing/Tracking
High Arousal/excitement
Around livestock
Around water
Other

If other, please give further information

If someone enters home while my dog is alone, likely behaviour is that they *

Remain Calm
Get Excited
Get Nervous
Hide
Get Defensive
Other

If Other, please detail

When being left home alone my dog *

Settles Calmly
Remains Excited
Gets Nervous
Other

If other, please detail

Dogs behaviour when being left at home - Please provide as much detail as possible

My dog has shown guarding behaviour towards... *

Food/Treats
Toys
Beds
Space
Owner
Other Animals
Nothing
Other

If other, please detal

My dog is comfortable with... *

Paw Wiping
Towel Drying
Showering
Being lifted
Car/Crate travel
Vet Handling

Dog has touch sensitivities on.... *

Ears
Paws
Tail
Mouth
Collar Area
Back
Hips
None
Other

If other, please detail...

Behaviour at home - any additional notes

Has your dog ever shown reactive behaviour towards? *

Other dogs (on lead)
Other dogs (off lead)
Puppies
Large dogs
Small dogs
People (familiar)
People (unfamiliar)
Children
Men
Women
Cyclists
Joggers
Cars/traffic
Motorbikes
Livestock
Wildlife
Visitors to home
Delivery drivers
None
Other

If other, please specify...

Behaviours during Reactivity *

Barking
Lunging
Growling
Snapping
Freezing
Attempting to flee
None
Other

If other, please specify

Has your dog ever (or attempted to)... *

Bite a person
Bite another dog
Injure another animal
My dog has never displayed any aggressive behaviours

How would you describe your dog's lead walking? *

Excellent - walks calmly on loose lead
Good - Occasional pulling but responds to guidance
Fair - pulls at times, particularly when excited
Poor - frequently pulls on lead

Does your dog understand the following cues? *

Heel
Wait
Stop
Leave
This way/ Lets go

Please give any further details on commands if necessary

Equipment currently used *

Flat Collar
Harness
Head Collar
Slip Lead
Long Line
Other

If other, please give details

Please provide any supporting files (e.g. location of leads)

Would you like updates on your dogs walking sessions? *

Yes please - every session
Occasional
Emergencies only

Confirmation of Information Accuracy *

I confirm that the information provided is accurate and complete to the best of my knowledge. I will notify Rain & Winds of any changes to this information.

Dog Registration - Information Form