CLIENT INTAKE FORM (Canine) Client Intake Form (Canine) Pet Info ***PLEASE NOTE: Pups over 7 months of age must be altered in order to stay with us. We apologize for any inconvenience this may cause, and thank you for understanding! Pet's Name * Age * Birthdate Estimated? Yes No Gender * -Select- Male Female Spayed/Neutered * -Select- Yes No (If your pup is over 7 months, we will not be able to board them!) Microchipped * -Select- Yes No Microchip # Breed * Color * Contact Info Pet Parent's Name * Address * Phone Number * Email * Emergency Contact (other than spouse) Relationship to Pet Parent? Phone Number Pet Care Feeding Amounts/Frequency * Treats Allowed (specific, any, etc.)? * Walking and Bathroom Schedule Medication Required? * -Select- Yes No If yes, please list the name, dose, and schedule here: Where does your pup normally sleep? * -Select- Crate Dog Bed Owner's Bed Other Where does your pup normally sleep? Is your pup crate trained? * -Select- Yes No Allowed on Furniture? * -Select- Yes No In the event of a medical emergency, we will use our best judgment to care for your pet. Please tell us with which perspective we should consider treatment options: * -Select- My pet is a member of the family; all measures should be taken to save his/her life. I love my pet, but I must also think about my family's financial well-being. I do not believe in spending significant amounts of money on pet medical bills. Home Access (for walking/drop-in visits only) Location of Leash Location of Food Brand Location of Cleaning Supplies Does your pup have any favorite toys? Where does your pup stay when left at home (free run, specific room, outside, etc)? Please describe how we should access your home for visits? (Be sure to note any keys, alarm codes, etc. that our sitters may need) Behavior and Tips What else should we know about your pup (behavior concerns, fears, etc.)? Any specific instructions? Submit If you are human, leave this field blank.
