Surf Side Paws Client Form
Pet Care Client Form
Thank you for choosing Surf Side Paws for your pet care needs! In order to give the best care to them, please fill out the form below.
Full Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
Emergency Contact Phone
DOGS DETAILS
Name:
Breed:
Age/DOB:
Sex
Male
Female
Are they desexed?
Yes
No
Are they up to date with vaccinations?
Yes
No
Microchip Number:
VETERINARY DETAILS
Vet Clinic:
Vet contact number:
Any medical conditions, allergies or health issues?
If they are on any medication, please advise below
If they require any medications to be given please advise below
Have they had any recent surgeries?
Yes
No
FOOD AND TREATS
Is your dog allowed treats?
Yes
No
Please provide any food allergies or dietary restrictions below
Favourite treats
WALKING INFORMATION
How does your dog usually walk on the lead?
Very Well
Okay
Tends to pull
Dog reactive
What equipment does your dog usually have
Collar
Lead
Halter
Harness
Is your dog friendly with other dogs?
Yes
No
Is your dog comfortable around people/children?
Yes
No
Any known triggers or behavioural concerns we should know about?
Dogs
People
Children
Cars
Bikes/scooteres
Loud noises
Other
Please provide any additional information that we should know about
HOME AND ACCESS
How should we access the property
Owner will be home
Key cut for us
Lockbox
Garage
Other
If there is an alarm, what instructions do I need to know?
Are there any other pets in the household?
Yes
No (please provide details)
Details if selected No for the above question
Emergency Authorisation
In the event of an emergency, I authorise Surf Side Paws to seek veterinary attention for my dog/s if I can not be contacted. I understand that reasonable efforts will be made to contact me/nominated emergency contact before any veterinary treatment is arranged, where circumstances allow.
Preferred Vet clinic
Owner Signature
Date:
PHOTOS & SOCIAL MEDIA
We love sharing our adventures! Are you happy for photos/videos to be taken during our walk or visit to be used on our social media pages?
Permission for photos to be used for social media
Yes, I give permission
No, I dont give permission
Owner Initials
YOUR DOGS ROUTINE
If i need to feed your dog/s please state below feeding time and how much
Please tell me about your dogs usual toilet routine/if they have any commands or preferences
Usual exercise routine
Is there anything else that you would like us to know?
CONSENT AND ACKNOWLEDGEMENT
I confirm that the information provided above is accurate and complete to the best of my knowledge. I agree to notify Surf Side Paws of any changes to my dogs health, behaivour, contact details or circumstances that may affect their care. I understand that dogs are animals and may sometimes behave in an unpredictable way despite the appropriate care and supervision.
Owner Name:
Owner signature
Date:
Submit
Submit
Should be Empty: