ONBOARDING | Koda's Canine Club

First name

Last name

Phone

Address

Emergency Contact

Veterinary Practice

How did you hear about Koda’s Canine Club?

Social media

Word of mouth

Google

Other

Dog Information (Multiple dogs - Please add to same boxes)

Name (s)

Breed(s)

Date of Birth (DD/MM/YYY)

Sex (Male/Female)

Neutered/Spayed (Yes/No)

Medical Conditions or Allergies?

Does your dog have any quirks or unusual habits?

Is there anything your dog doesn’t like that they might encounter on a walk?

How is your dog’s recall?

*Please note this is something we also work on.

Is your dog comfortable off-lead? (Yes/No)

Does your dog have any fears or triggers?

Permissions & Agreements

I consent to photos/videos of my dog being used on social media

I agree to Koda’s Canine Club Terms & Conditions (https://www.kodascanineclub.com/walkingtc)

Signature

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