Client Information

Full Name*

Street Address*

City*

State*

ZIP Code*

Cell Phone*

Email*

How Were You Referred?

Emergency Contact

Contact Name*

Relationship*

Contact Phone*

Travel & Reservation Schedule

Drop-off Date*

Pick-up Date*

Where Can We Reach You While Away?

Would You Like Email Updates?

Yes, please!No, thanks

Veterinary Information

Primary Veterinarian's Name*

Veterinary Clinic Address

Veterinary Phone*

Emergency Hospital Name

Emergency Hospital Address

Emergency Hospital Phone

Canine Companion Profile

Dog #1

Companion Name*

Breed*

Sex

MaleFemale

Spayed/Neutered

YesNo

Color

Age

Weight

Collar or Microchip ID

Current Medications

Medication Instructions

Food & Feeding Instructions

Medical or Behavior Concerns

Additional Comments

History & Background

Help us understand your companion better so we can provide the best possible care.

How long have you lived with your companion? Where did you get them?

What do you know about your companion's history?

Where does your companion typically sleep?

Does your companion use a crate?

YesNoSometimes

Does your companion have a tendency to bark at people, other pets, etc.?

Has your companion ever growled at you or others?

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

Yes, no issuesSometimes difficultNo, they guard items

Is there any situation or body area where you cannot touch your companion?

Describe your companion's interactions with other pets (dogs, cats, etc.)

Does your companion go to off-leash parks or trails?

Yes, regularlyOccasionallyNo

Does your companion go to doggy daycare, use a dog walker, or go on group walks?

Has your companion been boarded before? If so, where and how was the experience?

Are there any people your companion is uncomfortable around?

What kind of physical exercise does your companion get? How much and how often?

Any additional information you'd like us to know?

Boarding Registration