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(1) Owner Information
If you are a repeat customer, please complete ONLY Part 1, 3 and 4
First name
Last name
Address
Phone
Email
(2) Dog Information
Dog's Name?
Breed
Age
Weight
Gender
Is your dog spayed or neutered?
Yes
No
Is your dog up to date on all vaccinations?
Yes
No
Does your dog have any medical conditions or allergies we should be aware of?
Is your dog friendly with strangers and other animals? If no please provide additional information.
Does your dog have any history of aggression (biting, growling, etc.)? If yes please provide additional information.
(3) Health and Vaccination
Is your dog up-to-date on vaccinations? (Please attach proof of vaccinations including rabies, distemper, and Bordetella.)
Any known medical conditions or allergies?
Is your dog on any medication?
Does your dog have any dietary restrictions or special feeding instructions?
Does your dog have a history of fleas/ticks?
Yes
No
(4) Behavior
Has your dog ever bitten or shown aggression toward people or other dogs?
How does your dog behave around other dogs?
Friendly
Anxious
Aggressive
Shy
Other
Does your dog experience separation anxiety?
Yes
No
Is your dog crate trained?
Yes
No
Does your dog have any fears (e.g., thunderstorms, loud noises)?
(5) Boarding Preferences
Preferred Drop-Off Date and Time
Month
:
AM
Preferred Pick-Up Date and Time
Month
:
AM
Feeding Schedule?
Does your dog have any favorite toys or bedding you'd like us to use during their stay?
Is there anything we should do to make your dog’s stay more comfortable?
(6) Activity and Socialization
Does your dog enjoy playing with other dogs?
Yes
No
Preferred level of activity for your dog:
High (Requires lots of exercise)
Medium (Regular exercise and playtime)
Low (Light activity, prefers resting)
Does your dog enjoy walks?
Yes
No
Is your dog allowed to have treats?
Please provide any other relevant details about your dog’s care, behavior, or boarding stay:
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