New Client Intake Form
We’re excited to meet you and your pet! This form helps us understand your pet’s needs, routines and preferences so we can provide thoughtful, personalized care.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
Secondary Phone Number (Optional)
Format: (000) 000-0000.
Email
*
example@example.com
What is your preferred method of communication
*
Phone
Text
Email
Local Emergency Contact
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Veterinarian Name
First Name
Last Name
Vet Clinic Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Vet Clinic Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What services are you interested in learning about?
*
Dog Walking
Drop in Visits
House Sitting
Enrichment
Companion Care
Dog Adventures
Other
How many pets are you interested in receiving services for?
*
What dates are you looking for service? (For vacations, include your expected departure and return dates. For recurring services, such as dog walks, please include your desired start date and preferred schedule if known.)
*
Please provide your availability for a Meet & Greet. List preferred days and time windows (e.g., weekdays after 5 PM, weekends 10 AM–2 PM).
*
How did you learn about us?
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Tell Us About Your Pet!
Pet Name
*
Species
*
Please Select
Cat
Dog
Gender
*
Male
Female
Breed
*
Age
*
Date of Birth
*
-
Month
-
Day
Year
Date
Color
*
Spayed/Neutered
*
Yes
No
Weight
*
Is your pet up to date on vaccinations? (Rabies Required)
*
Yes
No
Is your cat:
*
Indoor only
Outdoor only
Indoor/Outdoor
Please share a little about your pet's personality and activity level. (What makes them unique? Are they energetic and playful, or more relaxed and cuddly?)
*
Does your pet have any medical conditions, concerns or allergies?
*
Does your pet have any behaviors, fears, or triggers we should know about so we can help them feel safe and comfortable?
*
Does your pet have any handling sensitivities we should be aware of? (e.g., leashing, harnessing, being picked up, general physical contact).
*
Does your cat have any behaviors we should know about so we can help them feel safe and comfortable? (e.g., food guarding, over-stimulation).
*
How does your pet respond when they see another dog or a person on a walk?
*
What equipment do you use when walking your dog?
*
Flat or martingale collar
Harness
Prong Collar
E-Collar
Retractable Leash
Not applicable
Can your pet have treats? If yes, what is their favorite kind?
*
Has your pet ever:
*
Bitten another animal
Bitten a person
Snapped or attempted to bite
No bite history
Please share any other details about your furry companion you would like us to know. 🐾
Pet 2 Information
Pet Name
*
Species
*
Please Select
Cat
Dog
Gender
*
Male
Female
Breed
*
Date of Birth
*
-
Month
-
Day
Year
Date
Color
*
Spayed/Neutered
*
Yes
No
Weight
*
Is your pet up to date on vaccinations? (Rabies Required)
*
Yes
No
Is your cat:
*
Indoor only
Outdoor only
Indoor/Outdoor
Please share a little about your pet's personality and activity level. (What makes them unique? Are they energetic and playful, or more relaxed and cuddly?)
*
Does your pet have any medical conditions, concerns or allergies?
*
Does your pet have any behaviors, fears, or triggers we should know about so we can help them feel safe and comfortable?
*
Does your pet have any handling sensitivities we should be aware of? (e.g., leashing, harnessing, being picked up, general physical contact).
*
Does your cat have any behaviors we should know about so we can help them feel safe and comfortable? (e.g., food guarding, over-stimulation).
*
How does your pet respond when they see another dog or a person on a walk?
*
What equipment do you use when walking your dog?
*
Flat Collar/Martingale
Harness
Prong Collar
E-Collar
Retractable Leash
Not applicable
Can your pet have treats? If yes, what is their favorite kind?
*
Has your pet ever:
*
Bitten another animal
Bitten a person
Snapped or attempted to bite
No bite history
Please share any other details about your furry companion you would like us to know. 🐾
Pet 3 Information
Pet Name
*
Species
*
Please Select
Cat
Dog
Gender
*
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Date
Color
*
Breed
*
Spayed/Neutered
*
Yes
No
Weight
*
Is your pet up to date on vaccinations? (Rabies Required)
*
Yes
No
Is your cat:
*
Indoor only
Outdoor only
Indoor/Outdoor
Please share a little about your pet's personality and activity level. (What makes them unique? Are they energetic and playful, or more relaxed and cuddly?)
*
Does your pet have any medical conditions, concerns or allergies?
*
Does your pet have any behaviors, fears, or triggers we should know about so we can help them feel safe and comfortable?
*
Does your cat have any behaviors we should know about so we can help them feel safe and comfortable? (e.g., food guarding, over-stimulation)
*
Does your pet have any handling sensitivities we should be aware of? (e.g., leashing, harnessing, being picked up, general physical contact)
*
How does your pet respond when they see another dog or a person on a walk?
*
What equipment do you use when walking your dog?
*
Flat Collar/Martingale
Harness
Prong Collar
E-Collar
Retractable Leash
Not Applicable
Can your pet have treats? If yes, what is their favorite kind?
*
Has your pet ever:
*
Bitten a person
Bitten another animal
Snapped or attempted to bite
No bite history
Please share any other details about your furry companion you would like us to know. 🐾
*
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Certification and Signature
By selecting 'I Agree' below, I certify that the information provided in this form, including my pet’s bite and behavioral history, is true and accurate to the best of my knowledge.
I Agree
I Do Not Agree
Submit
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