intake form for new friends :)
Please be as descriptive as you can so I can ensure the best possible care for your best friend!
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
what are your best friend(s') name(s) and breed(s)?
*
how old are they?
*
does your little one have any allergies or medical concerns?
*
does your beloved need medication administration? if so, please provide details below.
does your poopsie have any strong aversions? (other dogs, hats, hoodies, sunglasses, etc.?)
can i please have your honey's veterinary information in the event of emergency?
*
anything you want your fur baby to stay away from, or any bad habits you're trying to break?
*
can you please give me instructions on the location in your home, portion size of food, feed times, and any other particular notes? [warm water in food, supplements, etc.?]
*
(I understand sometimes I won’t be feeding your pets, but in case you need me to do so, I would assume it’s at a point you’re busy with something else, so asking you then would spare you the hassle of trying to explain when otherwise preoccupied!)
is it okay to post photos/or videos of your pup (no personal info) on social media?
*
Yes :)
No :)
Yes, but only if you send me the post or photo first :)
what motivates your pup the most? (select all that apply.)
*
food or treats
attention or praise
going for walks
toys
Other
what sounds most like what you need?
*
drop-in: I'll be away for a few days. I don't need overnights, but I do need someone to check-in consistently. After that, I'll be home and won't need services, but will contact you again in the future should that change.
drop-in: i work from home but can't give my pup the attention she needs right now.
drop-in: i need drop-in visits while i'm at work
drop-in: my baby just needs some more exercise
overnight: i will be traveling and need care for the dates i am away
Other
if you selected drop-in visits, what day(s) would you need coverage?
monday
tuesday
wednesday
thursday
friday
if you selected drop-in visits, please name two hour window that you are looking for coverage.
Hour Minutes
AM
PM
AM/PM Option
through
until
Hour Minutes
AM
PM
AM/PM Option
if this is for overnights, please list the date and time you would need me to ARRIVE.
/
Month
/
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
if this is for overnights, please list the date and time you would need me to LEAVE.
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
finally, how can i access your home? do you have a key, garage door code, etc.?
*
please note any other necessary or helpful information here.
*
Submit
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