Dog Info Form

Affordable Pet Boarding: Dog Info Form

Owner's Name
First	Last

Dog's Name	Male	Female

Color		Size

Spayed/Neutered	Yes	No

Weight

If your female has not been spayed, when do you expect her next heat?
Dog's Breed
Age	Date of Birth MM/YY

Date of last Bordatella
Date of last DHLPP Vaccination
Brand of Heartworm Prevention
Given on DD/MM
Brand of Flea/Tick Prevention
Given on DD/MM
Other Medications
Describe your dog's general health
Any old scars or injuries?
Is this the first time you will be away from your dog for an extended period of time?	Yes	No

If no, has your dog ever been boarded before?	Yes	No

If no, who watched your dog when you were away?
Brand of Food
Feeding Portions (Example: 1 Cup or 1/2 Cup)
When do you feed
Are there any commands or behavior associated with feeding?
Is your dog possessive of its food?	Yes	No

Overall, my dog's behavior is...
My dog loves...
What kind of social environments has your dog been in?
My dog dislikes...
Are there any behavioral problems we should be aware of?
My dog has been trained to
sit on command	Yes	No

lie down on command	Yes	No

walk on a leash	Yes	No

other tricks
I allow my dog to jump on me	Yes	No

How does your dog let you know when he/she needs to "Go Out"?
At home, my dog stays...
Any other info

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