On Duty Sign Up On Duty Mobile Gym Sign Up Sign Up Form On Duty Mobile Gym is Now Open. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastPhone *Email *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDo You Have a Coupon?Please enter the Coupon Code AbovePreferred Trailer Location? *We would like to make sure everyone is safe during our visit. Please let us know the best location to park upon arrival. I.E. Driveway, Curb, etc.Release of Liability and Assumption of Risk *I agreeRelease of Liability and Assumption of Risk Form On Duty - Mobile Dog Gym LLC. https://k9doodiepatrol.com/onduty Telephone: 855-593-6634 ext #3 I understand that I am solely responsible for any harm caused by my dog(s) while my dog(s) is/are exercising on manual treadmills with On Duty - Mobile Dog Gym LLC. I understand that my dog(s) must be current on monthly heartworm preventions and that they have had a yearly heartworm test with a negative result. On Duty- Mobile Dog Gym LLC has recommended a yearly wellness physical by my veterinarian, and I certify that my dog(s) have no current restrictions for exercising. I also understand and agree that in admitting my dog(s), On Duty- Mobile Dog Gym LLC has relied upon my personal representation that my dog(s) is/are in good health and have not harmed or shown aggressive or threatening behavior towards any person. I further understand my dog(s) will be carefully supervised at all times during exercise on treadmills. I am aware that minor scrapes and scratches may occur. While my dog(s) is/are in the care and custody of On Duty - Mobile Dog Gym LLC, if I am unreachable in the event of an emergency, I hereby authorize On Duty - Mobile Dog Gym LLC, its agents, and/or representatives to seek immediate veterinary care for my dog(s). I understand that all costs in connection with veterinary, medical, or other treatment shall be my responsibility. I hereby agree to save and hold harmless, On Duty - Mobile Dog Gym LLC, its directors, officers, shareholders, employees, assistants, members, and agents from any and all liability, claims, loss, injury or damage which I or my dog(s) may sustain, or which may be caused in any way by my dog(s). I specifically, without limitation, agree to fully indemnify On Duty- Mobile Dog Gym LLC for all such liability, claims, suits, actions, losses, injury or damage. I certify that I have read and understand the rules and regulations set forth herein and that I have read and understand this agreement. I agree to abide by the rules and regulations and accept all terms, conditions and statements of this agreement and confirm the truthfulness of the contents of the health records provided by me. Photo/Video Release: I grant On Duty - Mobile Dog Gym LLC permission to take photographs or videos of my dog(s) during gym sessions for promotional or marketing purposes. *Avoid food/water for at least one hour prior to treadmill activity. *Dogs should have short trimmed nails to help avoid injury while running. *Please walk your dog to allow them to relieve themselves prior to treadmill activity. *While we do understand that nerves can play a part and accidents happen, we'd like to lessen the occurrence. A 24-hr cancellation notice is appreciated and will avoid a $25 fee.NextSubscription * One-time Run Full Month Subscription One-time Run Pricing 1 Dog (1 Run) - $55 2 Dogs (1 Run) - $85 3 Dogs (1 Run) - $115 4 Dogs (1 Run) - $145 More than 4 - will be provided after submission Full Month Pricing 1 Dog (4 Runs) - $200 2 Dogs (4 Runs) - $300 3 Dogs (4 Runs) - $400 4 Dogs (4 Runs) - $500 More than 4 - will be provided after submission How Many Dogs? *12344 or MorePlease Note that we can only do 2 dogs at a time but multiple during one visit.Dog Name: *Dog Breed: *Dog Date of Birth & Age: *Dog's Weight *Less than 85 lbs85 lbs - 99 lbsMore than 100 lbsDoes Your Dog Have Any Health Issues? *If none, please input N/A.Dog 2 Name: *Dog 2 Breed: *Dog 2 Date of Birth & Age: *Dog 2's Weight *Less than 85 lbs85 lbs - 99 lbsMore than 100 lbsDoes Your Dog Have Any Health Issues? *If none, please input N/A.Dog 3 Name: *Dog 3 Breed: *Dog 3 Date of Birth & Age: *Dog 3's Weight *Less than 85 lbs85 lbs - 99 lbsMore than 100 lbsDoes Your Dog Have Any Health Issues? *If none, please input N/A.Dog 4 Name: *Dog 4 Breed: *Dog 4's Weight *Less than 85 lbs85 lbs - 99 lbsMore than 100 lbsDog 4 Date of Birth & Age: *Does Your Dog Have Any Health Issues? *If none, please input N/A.Additional DogsPlease provide the names and weights of all additional dogs outside of the first 4 dogs.Please Upload Your Dog(s) Latest Immunization Documents Click or drag files to this area to upload. You can upload up to 5 files. Please Upload A Picture of Your Dog(s) Here Click or drag a file to this area to upload. NextPlease let us know if you have any questions or suggestions:How Did You Find Out About Us?GoogleSocial MediaVehicle SignageReferralEventOtherSubmit Name(Required) First Last Phone(Required)Email(Required) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Do You Have a Coupon? Please enter the Coupon Code AbovePreferred Trailer Location(Required)We would like to make sure everyone is safe during our visit. Please let us know the best location to park upon arrival. I.E. Driveway, Curb, etc.Release of Liability and Assumption of Risk(Required) I agree Release of Liability and Assumption of Risk Form On Duty - Mobile Dog Gym LLC. https://k9doodiepatrol.com/onduty Telephone: 855-593-6634 ext #3 I understand that I am solely responsible for any harm caused by my dog(s) while my dog(s) is/are exercising on manual treadmills with On Duty - Mobile Dog Gym LLC. I understand that my dog(s) must be current on monthly heartworm preventions and that they have had a yearly heartworm test with a negative result. On Duty- Mobile Dog Gym LLC has recommended a yearly wellness physical by my veterinarian, and I certify that my dog(s) have no current restrictions for exercising. I also understand and agree that in admitting my dog(s), On Duty- Mobile Dog Gym LLC has relied upon my personal representation that my dog(s) is/are in good health and have not harmed or shown aggressive or threatening behavior towards any person. I further understand my dog(s) will be carefully supervised at all times during exercise on treadmills. I am aware that minor scrapes and scratches may occur. While my dog(s) is/are in the care and custody of On Duty - Mobile Dog Gym LLC, if I am unreachable in the event of an emergency, I hereby authorize On Duty - Mobile Dog Gym LLC, its agents, and/or representatives to seek immediate veterinary care for my dog(s). I understand that all costs in connection with veterinary, medical, or other treatment shall be my responsibility. I hereby agree to save and hold harmless, On Duty - Mobile Dog Gym LLC, its directors, officers, shareholders, employees, assistants, members, and agents from any and all liability, claims, loss, injury or damage which I or my dog(s) may sustain, or which may be caused in any way by my dog(s). I specifically, without limitation, agree to fully indemnify On Duty- Mobile Dog Gym LLC for all such liability, claims, suits, actions, losses, injury or damage. I certify that I have read and understand the rules and regulations set forth herein and that I have read and understand this agreement. I agree to abide by the rules and regulations and accept all terms, conditions and statements of this agreement and confirm the truthfulness of the contents of the health records provided by me. Photo/Video Release: I grant On Duty - Mobile Dog Gym LLC permission to take photographs or videos of my dog(s) during gym sessions for promotional or marketing purposes. *Avoid food/water for at least one hour prior to treadmill activity. *Dogs should have short trimmed nails to help avoid injury while running. *Please walk your dog to allow them to relieve themselves prior to treadmill activity. *While we do understand that nerves can play a part and accidents happen, we'd like to lessen the occurrence. A 24-hr cancellation notice is appreciated and will avoid a $25 fee.Subscription(Required) One-time Run Full Month Subscription One-time Run Pricing 1 Dog (1 Run) - $55 2 Dogs (1 Run) - $85 3 Dogs (1 Run) - $115 4 Dogs (1 Run) - $145 More than 4 - will be provided after submissionFull Month Pricing 1 Dog (4 Runs) - $200 2 Dogs (4 Runs) - $300 3 Dogs (4 Runs) - $400 4 Dogs (4 Runs) - $500 More than 4 - will be provided after submission How Many Dogs?(Required)12344 or MorePlease Note that we can only do 2 dogs at a time but multiple during one visit.Dog Name:(Required) Dog Breed:(Required) Dog Date of Birth & Age:(Required) Dog's Weight(Required)Less than 85 lbs85 lbs - 99 lbsMore than 100 lbsDoes Your Dog Have Any Health Issues?(Required)If none, please input N/A.Dog 2 Name:(Required) Dog 2 Breed:(Required) Dog 2 Date of Birth & Age:(Required) Dog 2 Weight(Required)Less than 85 lbs85 lbs - 99 lbsMore than 100 lbsDoes Your Dog Have Any Health Issues?(Required)If none, please input N/A.Dog 3 Name:(Required) Dog 3 Breed:(Required) Dog 3 Date of Birth & Age:(Required) Dog 3 Weight(Required)Less than 85 lbs85 lbs - 99 lbsMore than 100 lbsDoes Your Dog Have Any Health Issues?(Required)If none, please input N/A.Dog 4 Name:(Required) Dog 4 Breed:(Required) Dog 4 Date of Birth & Age:(Required) Dog 4 Weight(Required)Less than 85 lbs85 lbs - 99 lbsMore than 100 lbsDoes Your Dog Have Any Health Issues?(Required)If none, please input N/A.Additional DogsPlease provide the names and weights of all additional dogs outside of the first 4 dogs.Please Upload Your Dog(s) Latest Immunization Documents Drop files here or Select files Max. file size: 512 MB, Max. files: 5. You can Upload up to 5 filesPlease Upload A Picture of Your Dog(s) Here Drop files here or Select files Max. file size: 512 MB. Please let us know if you have any questions or suggestions:How Did You Find Out About Us? Google Social Media Vehicle Signage Referral Event Other RECAPTCHA
