Client and Dog Profile Form
Please complete this intake form prior to making any payments for services
Contact Information
Owner Name
First Name
Last Name
Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Booking Information
Check In Date & Time
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Check Out Date & Time
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Select a Service
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Paw Haus Premier Pet Boarding Experience ($40)
Overnight Boarding
$40.00
$
40.00
*Companion Boarding: Additional Pet Boarding ($30)
$30.00
$
30.00
Paw Haus Premier Doggy Daycare Service ($30)
12 hour max stay
$30.00
$
30.00
*Companion Day Care: Additional Pet ($20)
$20.00
$
20.00
Paw Haus Dog Bath ($25)
Mane and Tale Shampoo and Conditioner
$25.00
$
25.00
Calming/Anxiety Treat Chews ($2/day)
$2.00
$
2.00
Your Dog's Details
Your Dogs
*
Health Details
Any medical conditions or recent injuries or illnesses?
Up to date with all vaccinations?
Yes
No
Please upload vaccination records
Browse Files
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Choose a file
All dogs must have up-to-date vaccination records, specifically for rabies and either DHPP or DHLPP. This requirement helps us maintain a healthy environment for all pets in our care.
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Any allergies or food sensitivities?
Brief information about feeding patterns (morning or night? How many cups?)
Dogs are typically fed twice daily, between 6:00 and 8:00 a.m. and again between 4:00 and 6:00 p.m. Meals are provided within their crates to ensure a peaceful dining experience. Please inform us of your dog's feeding preferences.
Allowed calming treats? (Contains Melatonin or Chamomile (used for anxiety issues shut as storms or first night jitters)
Yes
No
Any additional notes about your dogs (aggressive tendencies, possessions, level of obedience and etc.)
Vet Details
Dr. Name
First Name
Last Name
Clinic Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please verify that you are human
*
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date of Service Request Submission
Your Signature
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Vaccination Update Due
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Vaccinations Current?
Yes
No
Signature
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