Pet Intake Form
Welcome to Lucky Dog B&B! Please complete this intake form before your pet’s stay with us. This information helps us get to know your dog’s personality, health needs, and daily routine so we can provide the safest, happiest experience possible. Be as thorough as you can — your answers help us create a home-away-from-home for your pup. If you have more than one dog staying with us, please fill out a separate form for each pet. Thank you for choosing Lucky Dog B&B! 🐾
Pet Information
Pet's Name
Breed
Age
Weight
Gender
Please Select
Male, Neutered
Female, Spayed
Male
Female
Color/Markings
Microchip Number: (if applicable)
Crate Trained?
Yes
No
Does your dog enjoy group play with other dogs?
Yes
No
Sometimes
Health & Veterinarian Info
Vet Name & Clinic:
Clinic Phone Number:
Please enter a valid phone number.
Vaccination Record
Browse Files
Drag and drop files here
Choose a file
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of
Flea & Tick Preventative Used:
Any known allergies?
Any chronic medical conditions or recent surgeries?
Current Medications (leave blank if no current meds)
Medication Name
Dosage
Instructions
1
2
3
4
Behavior & Personality
How does your dog react to new people or other dogs?
Any behavioral issues we should know about? (e.g. jumping, barking, food aggression)
Has your dog ever bitten or shown aggression?
Does your dog have separation anxiety or other stress triggers?
Routine & Comfort
Feeding Schedule
Yes/No
Amount
Morning
Yes
No
Midday
Yes
No
Evening
Yes
No
Snack
Yes
No
Type of food provided:
Treats allowed?
Please Select
Yes
No
Favorite toys or activities:
Anything that helps your dog feel at home or relaxed?
Owner Contact Information
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Authorized for medical decisions?
Please Select
Yes
No
I confirm the information provided in this form is complete and accurate to the best of my knowledge. I understand that this information will be used to care for my pet while they are at Lucky Dog B&B.
Yes
Date
-
Month
-
Day
Year
Date
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