Owners name:_________________________________________________________________
Home Phone#:______________________Cell#:______________________________________
Address:_____________________________________________________________________
Veterinarian:________________________Phone#:____________________________________
Emergency Contact:_____________________________________________________________
Phone #:______________________________________________________________________
Check in date:____________________Check out date and time:__________________________
List all things brought with your pet(s):_______________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Pet Information:If you have multiple pets please fill this section out individually for each pet.
Pet's Name:___________________________Breed:___________________________________
Age:______________Sex:______________Spayed/Neutered:___________________________
Bath($10) Circle    Yes  or   No

Feeding Information:Number of meals per day:_______________________________________
Type of food:________________________Amount per meal____________________________

Medication Information:
Type:________________________Dosage:___________________________
Type:________________________Dosage:___________________________
Type:________________________Dosage:___________________________
Type:________________________Dosage:___________________________

Known medical/physical disabilities:___________________________________
_______________________________________________________________
_______________________________________________________________

What is your dogs preferred form of exercise? Circle all that apply.
Romping with another dog     Fetch     Leisurely walks    No exercise just attention
Other:Explain______________________________________________________

Can Your dog jump or climb fences?____________________________________
_________________________________________________________________
Does your dog have any fears?Storms,umbrellas,etc.If yes explain.____________
_________________________________________________________________
_________________________________________________________________
Has your dog ever bitten or shown aggression to another dog or human?If yes explain._
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
How would you describe your dogs personality with other dogs?
Submissive,aggressive,fearful,etc.__________________________________________
_____________________________________________________________________
Anything else you feel we should know about your dog?_________________________
_____________________________________________________________________