Request Adventure Group Dog Walking Name* First Last Address (We only provide service in Walnut Creek)* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*How many dogs do you have?*123 or moreDog(s) Name How long have you had your dog(s)?Breed or Description of your dog(s)*Age(s)*Male or Female? Male Female Weight*How often does your dog(s) meet new dogs? Weekly Occasionally Rarely How does your dog(s) respond when riding in a car?* Completely Comfortable Nervous/Anxious Car Sickness Howling Does your dog(s) have health or mobility issues?NoYesCan you tell me more about your dog(s) health or mobility issues?Does your dog(s) have any history of reactivity or aggression with other animals or people?*NoYesCan you tell me more about your dog(s) reactivity or aggression issues?Has your dog(s) ever been in a dog fight or scuffle whether they started it or not?*NoYesCan you tell me more about what happened?Has your dog(s) ever bitten and broken the skin of a person or animal for any reason?*NoYesCan you tell me more about what happened?Does your dog(s) have any behavioral issues we should know about? (examples: separation anxiety, growling or lunging at other dogs while on leash, biting the leash, guarding food or treats, submissive peeing)*NoYesCan you please elaborate?Which type of group walk would you prefer?* Off leash On leash Combination of both Is your dog neutered or spayed?* Yes No Will be at a future date How many walks per week would you like?*5432Which days?* Monday Tuesday Wednesday Thursday Friday Upload a picture of your dog(s)!Accepted file types: jpg, png, jpeg, Max. file size: 5 MB.Not required, but would be very helpful.Start Date MM slash DD slash YYYY If your schedule varies please tell us more in your detailed message below.Your Detailed MessageHow did you hear about us? Current Client Google YELP Veterinarian Facebook Instagram Other Consent* I agreeI understand that this is an INQUIRY or REQUEST for services. Happy Go Lucky Pet Care will contact me after receiving this request to handle any scheduling.PhoneThis field is for validation purposes and should be left unchanged. Happily serving the city of Walnut Creek for over a decade!
