Paw Care Application

Paw Care Application

Complete this application for The Dog House Pet Resort using the fields from the referenced document.
Owner, Pet, and Contact Information
Owner Last Name
Owner First Name
Pet Name
Breed
Date of Birth

MonthDayYear
Date
Weight
Spayed/Neutered?
Base Color
Purpose of Evaluation
(Boarding, Daycare, Both)
Client Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Email
example@example.com
Rent / Own / Other
Driver License Number and State
Phone / Mobile Best Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Work Phone
Please enter a valid phone number.Format: (000) 000-0000.
Employer Name & Location
Co-owner Full Name

First NameMiddle NameLast Name
Co-owner Address
Other Authorized Person to Pick Up Pet
Emergency Contact Name & Phone
Veterinarian Name & Clinic
Veterinarian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Medical Background
Does your pet have any allergies, including food allergies?
If yes, please note the allergies
Medical condition
Does your pet take any medications?
If yes, provide the medication name, amount, and frequency
Behavior, Socialization, and History
Does your dog live with other dogs?
Is your dog a rescue?
If your dog is a rescue, how long has your dog been in your home?
Does your dog go to dog parks?
Does your dog do well with other dogs?
Your dog interacts best with
Has your pet been boarded?
Has your dog gone to daycare?
Name and number of previous facility for daycare and/or boarding
Was your dog crate trained?
Describe your dog's behavior during thunderstorms
Has your dog ever dug or jumped a fence?
Has your dog shown signs of food aggression?
Has your pet ever been in a fight?
Has your dog ever bitten another dog?
If yes to fight or bitten, please expand on the situation
Has your pet ever bitten another human?
Does your pet have accidents in the crate or house?
Does your pet exhibit any anxiety while alone?
Does your pet have any other fears or anxieties?
If yes, please explain other fears or anxieties
Has your pet been off leash outdoors?
Does your pet exhibit any of the following guarding actions? (Destructive behavior, barking, etc)
Feeding and Treat Instructions
Do you give your pet treats?
May we give your pet treats?
May we use wet food?
Type of food
Amount
Times per day
Brand of food
If your pet becomes stressed or excited in boarding and is not eating, may we use wet food or broth to entice?
Additional feeding instructions
Authorization and Submission
How did you hear about The Dog House Pet Resort?
Signature
Name (printed)

First NameLast Name
Date

MonthDayYear
Date
Should be Empty:

Paw Care Application

Owner, Pet, and Contact Information

Medical Background

Behavior, Socialization, and History

Feeding and Treat Instructions

Authorization and Submission