Owner Name:__________________________________
Pet Name:__________________________________ Breed:_______________________________________
Description: _________________________DOB: _______________ M / F Spayed/Neutered? Yes | No
Feeding Instructions: (please check all that apply and PLEASE be specific!) Brand of Food:_____________
□ ½ c.
□ ¾ c.
□ 1c.
□ 1 ¼ c.
□ 1 ½ c.
□ 1 ¾ c.
□ 2c.
□ 2 ¼ c.
□ 2 ½ c.
□ 2 ¾ c
□ 3c.
□ 3 ½ c
□ AM Only
□ PM Only
□ AM and PM
□ Food Down at all times
□ Cup Provided
□ Special Diet
□ Feed Separately (All dogs that are NOT in the same family are fed separately. If you prefer your own dogs to be fed separately, please check here)
Comments: _____________________________________________________________________________
Permission to take and post pictures onto Facebook and slideshow: Yes / No
Is your dog kennel trained? Yes | No
Is your dog destructive when left alone or confined? Yes | No (Charges apply if damages - toddler mattress $75 to replace / $10 - pillow)
Does your dog(s) get along well with other dogs? YES / NO Initials______
If you’re unsure, do we have permission to temperament test them? YES / NO Initials______
Is your dog an escape artist? Yes / No
Allergies: YES | NO (List all known allergies) Are we allowed to give treats of our own? Yes | No
Allergy #1:______________________________________ Reaction:__________________________________
Allergy #2:______________________________________ Reaction:__________________________________
Allergy #3:______________________________________ Reaction:__________________________________
This area for OFFICE USE Only:
Date
Emp. Int.
Play Group
Comments

A B C D F