Drop Off Time and Pick Up Time
CLIENT INFORMATION:
*
First Name
Last Name
Mailing Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Cell Phone
(###)
###
####
Home Phone
(###)
###
####
Emergency Contact Phone Number
(###)
###
####
Email
Emergency Contact Name
*
First Name
Last Name
Relationship
Best number to reach them:
(###)
###
####
How did you hear about us?
Name/Breed/Weight
Sex
Male
Female
Color/Markings
Age/Date of birth
Does your pet have identification tags or information on collar?
*
Your pet may be required to have this or could be denied for boarding.
Does your pet have a history of escaping, running away, getting out of the house, jumping fences and /or high flight risk?
If Yes, please explain:
Do you give permission for your pet to come home with owners if available?
*
Is your dog spayed or neutered?
If Yes, provide date:
Housebroken
Yes
No
When is your dog happiest?
Describe your dogs play style:
Click all that apply.
Other:
Does your dog fear or dislike any of the following?
Please check all that apply.
Other:
Does your dog ever display inappropriate behavior in the following situations?
For example: growl, glare, bare teeth, snap, lunge at, bark, get nervous, resist, bite
Other:
Does your dog know any verbal commands?
For example: site, stay, down, stand, come, no, heel, wait, leave it, drop it, fetch, stop
How often does your dog obey verbal commands?
Is your dog crate trained?
Has your dog ever been in a similar facility for day care or boarding?
If yes, please list business name/location and your dogs reaction.
How many times per day is your dog typically taken out for walks and potty breaks?
Is there any additional information not covered here that we need to know about your dog?
When is your dog fed?
Check all that apply.
If Other, please describe.
What type of food and brand (e. g. kibble, canned, etc.) do you feed your dog?
How many servings? How much per serving?
Is your pet taking any medications that are required to be administered with food?
If your dog isn't eating well, is it OK to add things like yogurt, chicken broth, etc. to their food to entice them to eat?
When is your dog given treats?
Other times:
What type of treats?
How much at one time?
Any additional information regarding feeding we did not ask:
