happy tails! • intake

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 NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / 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!)
Yes :)No :)Yes, but only if you send me the post or photo first :)
food or treatsattention or praisegoing for walkstoysOther
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 workdrop-in: my baby just needs some more exerciseovernight: i will be traveling and need care for the dates i am awayOther
mondaytuesdaywednesdaythursdayfriday
if you selected drop-in visits, please name two hour window that you are looking for coverage.

Hour Minutes

AM/PM Option

through
until
Hour Minutes

AM/PM Option
if this is for overnights, please list the date and time you would need me to ARRIVE.

MonthDayYear
Date
Hour MinutesAM/PM Option
if this is for overnights, please list the date and time you would need me to LEAVE.

MonthDayYear
Date
Hour MinutesAM/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.*
Should be Empty:

intake form for new friends :)