Registration Form — Harris Hounds

1. Owner Details

Full Name *

Phone Number *

Email Address *

Address *

Town / Postcode *

Emergency Contact Name *

Emergency Contact Phone *

2. Dog Details

Dog’s Name *

Breed *

Date of Birth / Age *

Sex *

Neutered / Spayed *

Microchip Number *

Health Requirements *

Vaccinations up to date Flea / tick / worming up to date

3. Health, Behaviour & Special Care

Medical Conditions / Health Concerns

Ongoing Treatments / Medications

Behavioural Issues

Allergies / Dietary Needs / Special Requirements

4. Services & Walking Preferences

Services Requested *

Preferred Walking Style

On lead Off lead

Owner Consents

I give written consent for off-lead walking I allow photos for social media / promotion

5. Equipment & Supplies

Items Provided

Equipment / Handling Notes

6. Insurance

Is your dog insured?

Policy Provider & Number

7. Veterinary Details

Registered Veterinary Practice *

Vet Phone Number *

Vet Address *

8. Terms & Conditions Agreement

9. Digital Signature

Printed Name *

Signature *

Sign using your mouse, trackpad, or touchscreen.

The form will not submit unless the signature box has been signed.

Date *

Harris Hounds Registration Form

1. Owner Details

2. Dog Details

3. Health, Behaviour & Special Care

4. Services & Walking Preferences

5. Equipment & Supplies

6. Insurance

7. Veterinary Details

8. Terms & Conditions Agreement

9. Digital Signature