Dog Walker Application

PROFESSIONAL DOG WALKER INFORMATION AND RELEASE FORM

Owner and Dog Information

WALKER INFORMATION
Dog Walker's Name*
First Last
Contact Email*
Enter Email Confirm Email
Dog Walker's Address*
Street Address Address Line 2 City State ZIP Code
Dog Walker's Phone*
How many MHDR families to you walk for?*
Family #1
Dog Owner's Name*
First Last
Dog(s) name(s) - please list all*
Family #2
Dog Owner's Name*
First Last
Dog(s) name(s) - please list all*
Family #3
Dog Owner's Name*
First Last
Dog(s) name(s) - please list all*
Family #4
Dog Owner's Name*
First Last
Dog(s) name(s) - please list all*
Confirmation
I understand that I have been hired by the owner stated above to walk their dog(s) and that I must abide by all of the rules of the Mercer- Houston Dog Run while I have their dog(s) in my care. I realize that if I do not abide by these rules I can cause the owner of the above dog(s) to lose their membership to the run and my own ability to do any business in the Mercer Houston Dog Run. I agree that at no time will I bring any dog into the run that is not a current member or put a Mercer-Houston ID tag on any dog that is not a member. I will only bring a member’s dog(s) into the run provided that I have signed this release form for that specific dog(s). I understand that only Mercer-Houston Dog Run Association members are entitled to hearings and that all others breaking the rules can be denied use of the run without a hearing. Anyone denied use of the run who continues to enter is subject to prosecution for trespassing.

In consideration and as a condition of my being accepted as a member of MHDRA, being fully aware of the risks attendant thereto and assuming such risks, I hereby waive, release and discharge MHDRA, the members of its Board of Directors, its officers and employees and representatives (the MHDRA Releasees”) from any and all liability, claims, losses and expenses arising out of any injuries to person or property I may suffer as a result of canine behavior on MHDR property of any kind or nature, aggressive or otherwise, whether such animal is owned by me or any other person. I further acknowledge that any family member or guest on MHDR property at my invitation will be fully cognizant of the said risks attendant with such attendance and I warrant that I will make them aware of such risks.

In further consideration hereof, I hereby indemnify the MHDR Releasees from and against any liability, loss, damage (including but not limited to reasonable attorney’s fees) arising out of claims based upon the behavior and/or actions of any kind whatsoever by dog(s) owned by me.

No provision of the foregoing may be waived, altered or amended without express written consent of an authorized representative of MHDR.

By signing below, I agree to the above release and accept the terms stated therein:
I have read and understand the above*
- confirm

PROFESSIONAL DOG WALKER INFORMATION AND RELEASE FORM

WALKER INFORMATION

Family #1

Family #2

Family #3

Family #4

Confirmation