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:___________________________________
_______________________________________________________________
_______________________________________________________________

Would you like your pet matched up with a play buddy?Circle  Yes  or  No
If yes circle:       From within family        Another suitable dog staying with us

What is your dogs prefered 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?_________________________
_____________________________________________________________________