Pet Information Please fill this form out for each dog. Before you call us to reserve your dog's spot as well as their evaluation, we will need the following items: Customer Agreement Form Customer Information Form Pet Information Form Special Food and Medication Form Veterinary Records Please make sure you have sent us the required information before you call for your evaluation and reservation.Owner's Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Dog Name*BreedDescription/Color*Sex*MaleFemaleAgeWeightLicensed*YesNoTattoo/Microchip*YesNoBackgroundHow old was your dog when you got it?Please use whole numbers only. Example: 1, 2, 3Where did you get it?What was the primary reason for getting a dog?*Please choose oneCompanionProtectionFor BreedingFor a childCompanion for another dogTo replace a previous dogHealth & GroomingGeneral HealthSpayed/Neutered?YesNoHas your dog ever had a seizure?Is your dog allergic to anything?Any known medical conditions?Is your dog on flea/tick prevention?YesNoWhat kind and when was it last applied?Has your dog ever been groomed?YesNoDid your groomer provide any feedback about your dog?ExerciseDoes your dog go on walks with you?YesNoDoes your dog know how to walk on a leash?YesNoDo you walk your dog on a retractable leash?YesNoDo you allow your dog to walk in front of you?YesNoDoes your dog know how to heel next to you?YesNoHow far can your dog walk, in distance or minutes, before tiring?Does your dog like to play fetch?YesNoDoes your dog enjoy other physical activity?YesNoWhat type?TemperamentWhich best describes your dog?Never runs our of energyHappy and average energyLow key and mellowShy and withdrawnNervous and timidDoes your dog like to swim?YesNoIs your dog afraid of water?YesNoDoes your dog have separation anxiety?YesNoPlease describeDoes your dog have any well known fears or apprehensions?YesNoExamples include thunder, big dogs, men, firecrackers, etc.Please describeDoes your dog live with another dog that it does not like to separated from?YesNoHas your dog ever been to a kennel before?YesNoPlease tell us about the experienceHas your dog ever stayed with anyone else?YesNoPlease tell us about the experienceHas your vet or groomer had any troubles with your dog?YesNoPlease explainHow does your dog react to being confined to a cageLoved itHated itTolerated itDestroyed itDon't knowDoes your dog chew on or destroy his bed or anything else?YesNoPlease explainCan your dog use a doggie door?YesNoIs your dog a known jumper?YesNoHow high?Has your dog ever tried to climb a fence?YesNoIs your dog a known digger?YesNoHas your dog ever tried to run away?YesNoIf your dog gets away from you, does it bolt?YesNoIs your dog aggressive with their food or bowl?YesNoHas your dog ever displayed any form of aggression toward another dog or person?YesNoPlease describe the circumstancesPlease complete the sentence: My dog doesn't like it when...Other dogsDoes your dog have experience with other dogsYesNoDoes your dog like to go to dog parks to play?YesNoWhat kind of play does your dog enjoy?Has your dog been to daycare?YesNoHow did it go?Has your dog had any negative interaction with other dogs?YesNoPlease explainHas your dog ever been in a fight?YesNoPlease explainDay to DayIs your dog housebroken?YesNoWhere does your dog sleep?Is your dog allowed on furniture?YesNoPercentage of time your dog spends indoors?Percentage of time your dog spends outdoors?Is your dog an excessive barker?YesNoWhat kind of toys does your dog like?Is your dog possessive of toys?YesNoWhat food does your dog eat?Is your dog a good eater?YesNoHow many times a day does your dog eat?123Free feed We need for you to fill out all the required forms before you make your reservation.
