Owners Full Name
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First Name
Last Name
PET INFORMATION
Dog's Name:
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Breed:
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Birthday:
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Color/Markings:
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Weight:
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Gender:
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Male
Female
Is your dog spayed/neutered?:
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Neutered
Spayed
Unaltered
MEDICAL INFORMATION
Vets Name
Phone Number
Address
VETERINARIAN
Is your dog currently on flea/tick preventative?:
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Yes
No
If yes, what type?
Does your dog have (or had) any of the following issues?:
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Arthritis
Hip Displasia
Diabetes
Poor Eyesight
Blind
Hard of hearing
Deaf
Seizures
Heartworm treatment
Prone to ear infections
Prone to hot spots
Heart problems
Liver problems
Kidney problems
Anxiety (storm or separation)
None
Does your dog have any allergies?
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Yes
No
If yes, what kind?
Please list any medications that your dog is on:
Please describe any medical problems your dog has or has had in the past:
Does your dog have any old or current injuries?
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Yes
No
If yes, please explain:
Are there any restrictions of your dog's movements?:
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Yes
No
If yes, please explain:
It is common for some dogs while they are here for boarding to not eat. In the event your dog does not eat for more than 2 meals are we allowed to add the following enticement's to your dog's food?
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Chicken
Chicken broth
Pumpkin
Cheese
Peanut butter
Yogurt
Hand feed
House food: Life's Abundance
None
Other
We understand that being in a new environment, being away from their family, or hearing loud noises, such as fireworks, can be overwhelming for some dogs during their stay with us—especially those prone to separation anxiety. To help ease anxiety and ensure your dog's comfort, we offer our House Calming Chews—formulated to promote relaxation in stressful situations. If we notice that your dog is showing signs of distress, would you approve us providing them with our House Calming Chews? These chews are safe, vet-approved, and designed to help dogs feel more at ease. Please let us know if you consent to us administering House Calming Chews if we feel it would benefit your dog during their stay. Your dog's well-being is our top priority, and we want to make their experience with us as calm and pleasant as possible.
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Yes
No
DOG BEHAVIOR
Has your dog ever attended daycare or been boarded before?:
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Yes
No
If yes, please explain:
Has your dog been to a dog park before?:
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Yes
No
If yes, please explain the experience:
Does your dog have a basic understanding of commands (sit, stay, down, etc.)?:
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Yes
No
Is your dog house trained?:
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Yes
No
Has your dog ever bitten a person?
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Yes
No
If yes, please explain:
Has your dog ever bitten another dog?
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Yes
No
If yes, please explain:
Please check all answers that describe your dog's personality:
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Affectionate
Outgoing
Confident
Gentle
Playful
Reserved
Submissive
Verbally sensitive
Protective
Clingy
Feisty
Mouthy
Pushy
Aggressive
None
Please check all answers that describe your dog's attributes:
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Jumper
Climbs fences
Chewer
Biter
Separation anxiety
Likes to herd
Digger
Fears noises
Food aggressive
Toy aggressive
Excessive barking
Excessive mounting
None
Please check all answers that describe situations where your dog may become unfriendly:
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Grabbing collar
Touching paws
Touching ears
Touching tails
Touching while sleeping
Being brushed
Being hugged
Being around men
Being around women
Fearful/aggressive towards hats
None
Other
POOL TIME: is your dog approved for pool-time (swimming in our beach entry or kid pool)?
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Yes
No
Any additional information you would like to share about your dog?
Submit
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