Harris Hounds Registration Form

1. Owner Details

Full Name* Address* City / Postcode* Email Address* Phone Number* Emergency Contact Name* Emergency Contact Phone*

2. Dog Details

Dog’s Name* Breed* Date of Birth / Age* Sex* Select Male Female Neutered / Spayed* Select Yes No Microchip Number* Vaccinations Up to Date* Yes Flea/Tick/Worm Treatments Up to Date* Yes

3. Health & Behaviour

Medical Conditions / Health Concerns Ongoing Treatments / Medications Behavioural Issues (e.g., aggression, fear, anxiety) Allergies or Special Requirements

4. Services & Consent

Services Requested* Select Dog Walking Other Preferred Walking Style On Lead Off Lead Consent for Off-Lead Walking Yes Consent for Photography / Social Media Use Yes

5. Equipment & Supplies

Collar / Harness Provided Yes Lead Provided Yes Food / Treats Provided Yes Medication Provided Yes

6. Insurance

Dog Insured Yes Policy Provider & Number

7. Emergency Veterinary Practice

Vet Name / Clinic* Address* Phone Number*

8. Agreement & Consent

By signing below, I confirm that I have read, understood, and agree to Harris Hounds’ Terms & Conditions.

Owner Signature* Clear Signature Date*