Owner: Dr. Kira Leedom Email: info@offroadpaws.com Phone: 303-818-0708 "*" indicates required fields EmailThis field is for validation purposes and should be left unchanged.Contact InfoYour Name*Email* Phone*Address / LocationWhat is your address?* Street Address City State 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 ZIP Code Type of ServiceType of Service* Dog Walking Dog Running Dog Hiking Dog Pet Sitting (in-home, no overnights) Cat Pet Sitting (in-home, no overnights) For Dog Hiking:* Group Individual On-leash Off-leash Does your dog have a Boulder County Voice and Sight tag? ** Yes No Any history of aggressive behavior towards humans or other dogs? ** Yes No Excellent recall? ** Yes No Does your dog have a current City of Boulder Voice and Sight tag: Yes No How would you rate your dog's recall skills (using treats or voice only, no e-collars): N/A Almost perfect Most of the time Half of the time Sporadic/not good What is the preferred start date and how often is service needed: as needed weekly For regular weekly visit requestsWhat days of the week would like us to come for visits?* Monday Tuesday Wednesday Thursday Friday Saturday Sunday What length of visit are you interested in?* 30 minutes 45 minutes 60 minutes > 60 minutes What time of day would you like us to come?* Morning | 6:30am - 8:00am Mid-morning | 8:00am - 11:00am Afternoon | 11:00am - 2:00pm Late afternoon | 2:00pm - 5:00pm Evening | 5:00pm - 7:30pm For pet sitting visits, please list the dates you would like us to come *For pet sitting visits, please list the dates you would like us to come*Pet Info:Name:Breed:Date of Birth MM slash DD slash YYYY Does your pet(s) have any history of reactive behavior towards humans? If yes, please explain:Does your pet(s) have any history of aggressive behavior towards humans?Any current behavioral issues? Reactive behavior towards other dogs?Does your pet(s) have any special needs? medical issues? If yes, please explain:Does your pet(s) have any special needs? medical issues?Is your pet(s) spayed/neutered and fully vaccinated [Rabies (dogs, cats), DHPP (dogs), FVRCP (cats)]?Please explain:Is your pet(s) spayed/neutered and fully vaccinated [Rabies (dogs, cats), DHPP (dogs), FVRCP (cats)]?CAPTCHA