New Client Form

Client Information

Your Name (required)

Your Email (required)

Referred by

Dogs Name(s) (required)

City (required)

ZIP (required)

Address (required)

Phone numbers

Home (required)

Work

Cell

Spouse or 2nd Contact Person

Name

Email

Phone

Relationship

Emergency contact

Name (required)

Phone

Relationship

Dog Reservation Schedule

Date and time of Arrival

Date and time of Departure

If you do not have this information now, please email it to me when you do have it.

**PLEASE BE ON TIME OR LET ME KNOW IF YOU ARE GOING TO BE DELAYED

Pet Profile—Pet 1

Name (required)

Breed

Sex
MaleFemale
SpayedNeutered

Age

Weight

ID on dog or Chip ID

List of medications and instructions

Food: Please provide your own food as well as the name of it and where you get it.
How much and how often?

Pet Profile—Pet 2

Name (required)

Breed

Sex
MaleFemale
SpayedNeutered

Age

Weight

ID on dog or Chip ID

List of medications and instructions

Food: Please provide your own food as well as the name of it and where you get it.
How much and how often?

**PLEASE BRING MORE FOOD AND MEDS THAN I WILL NEED IN CASE YOU GET DELAYED

Any aggression problems?

Primary Vet

Phone

History/Background

How long have you lived with your dog?

Where did you get your dog?

Can your dog be on my bed? YesNo

Does your dog use a crate? YesNo

Is your dog an excessive barker? YesNo

How is your dog in a car?

Has your dog ever growled at you? YesNo

Can you take food, toys or stolen goodies away from your dog? YesNo

Is your dog friendly with other dogs? YesNo

Is your dog food possessive? YesNo

Can your dog go off leash on trails at the dog park with me?
Will she or he stay with me off leash? I am Alpha, have treats and have a pack.
YesNo

Does your dog go to day care? YesNo
If yes, where?

Can he or she have chewies or rawhides of any kind? YesNo

Has your dog ever been boarded before? YesNo

Are there any people that your dog is uncomfortable around?

Is your dog allergic to anything?

Does your dog have any injury or condition that I should be aware about?

How does your dog react to thunder and lightening?

Is your dog allowed to have minimal treats? You may bring your own. YesNo

Will your dog take food of the kitchen counter? Can your dog be left alone in the kitchen? YesNo

Does your dog have any quirks? Waste paper baskets etc

What does your dog do when you leave the house? Go to sleep somewhere? get crated?

Is your dog a fence jumper? YesNo