New_Pup_Info

Camp Jimmydog LLC

New Guest Information

If you have multiple dogs please fill out one form for each dog so that we may provide the best possible care for your pet.

Thank you!
Dog's Name
Owner Name(s)*
Phone: Home
Format: (000) 000-0000.
Cell
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E Mail
example@example.com
Dogs date of birth (or best guess)*

MonthDayYear
Date
Male / Female
YesNo
Breed(s)
Colors/Markings
All dogs MUST be current on vaccinations.

We require a copy of current vaccinations for all dog staying with us.

Rabies must be current as well as the additional vaccinations recommended by your veterinarian.
Who is your regular vet?
YesNo
If yes, what are they allergic to?
YesNo
If yes please explain
Treatments/Medications
Additional commands known -
Is your dog well trained off leash?
Normal exercise routine when home
Remember, we are a cage-free pack environment.

Click to read Is My Dog A Good Fit?
What kind of socialization experience does your dog have?
10+ Dogs (daycare, dog parks etc)With a few dogs (friends/family)No off-leash play
YesNo
Please explain their socialization experience.*
YesNoPuppy under 6mo. and is learning
Additional details to your answer above.
YesNo
If yes please explain.
YesNo
If no please explain.
YesNo
If yes please explain.
BarkerChewerDiggerFood/Treat aggressionToy aggressionFence jumperIndoor markerHumperFence aggressionLeash aggressionPoop eater"Plays" in water bowlDog bed destroyerRough player - Latches onto others using teethRough player - Likes to wrestle but does not latch on to other dogs
Other not listed above:
Details on anything checked above.
Yes, participated in group/private lessonsOwner has trained at home onlyNo prior obedience training
Any comments you would like to add about their training
Where does your dog sleep at night?*
We only crate at night if your dog is also crated at night at home, if a young puppy still in training or occasionally if someone doesn't settle and needs a break or time out.

If a dog is crated overnight they are typically in our bedroom with us.

Many dogs, even those that don't use crates at home, enjoy the open crates we have in various places around the house.

We ask these questions to better know your dog and to know our options in case of any emergency situations.
Yes, we still crate overnight.Yes, he/she still likes the crate but we don't ever lock them in.Yes but we no longer use it.No, he/she has a fear, panics and can NOT be crated.No. We never used a crate but don't know of any aversion to it.Other
Daycare on occasion just for fun and socializationDaycare on occasion when we have appts or plans etc.Daycare on a regular basis just for fun/socialization (weekly, bi-weekly etc)Daycare necessary on a regular basis, while work etc. (weekly, bi-weekly etc)Boarding - Specific dates coming upBoarding - No solid dates yetNo plans as of now just looking at options for the future
Is there anything else we should know?
Indoor Marking: Some dogs, while not markers at home, mark indoors when in an environment with other dogs. A fee of $5 per day will be charged to cover cleaning supplies/doggie diaper pads and extra management.
Emergency contact-

This is someone that we would contact should we not be able to contact you or in the event that something were to happen to you. This is NOT yourself, your vet, your spouse/partner or the people you are traveling with. An emergency contact does not need to be AZ residents.
Emergency Contact Name*
Emergency Contact Phone*
Format: (000) 000-0000.
Relationship (Mother, sister, neighbor)
Emergency Contacts Location
How did you hear about us?
This form will be kept on file for all future visits. If any of the above info. changes, it is your responsibility to notify Camp Jimmydog

I have entered the above information as truthfully and accurately as possible.
Date*
Should be Empty:

What kind of socialization experience does your dog have?