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OWNER & DOG INFORMATION
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| | Owner's First Name * |
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| | Owner's Last Name * |
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| | Dog's Name * |
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| | Breed (Or best guess) * |
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| | Weight * |
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| | Sex * |
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| | Spayed/Neutered? * |
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To use DogBoy's boarding or day care services, dogs must be spayed/neutered over the age of 6 months.
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| | Color/Description * |
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| | Dog's Date of Birth
(if unsure, please estimate)
Date format: xx/xx/xx * |
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| | Vet/Clinic Name * |
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| | Vet/Clinic Phone Number
* |
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| | What type of service are you interested in?
(check all that apply) * |
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CONTACT INFORMATION
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| | Email (we will keep it completely private) * |
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| | Home Address * |
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| | City * |
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| | State * |
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| | Zip * |
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| | Home Phone |
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| | Work Phone |
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| | Cell Phone * |
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| | What is your preferred method of contact? |
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| | Alternate Contact Person's Name
(if applicable, in your household) |
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| | Alternate Phone Number(s) |
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| | Emergency Contact Name (other than self) * |
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| | Emergency Contact Phone * |
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| | How did you hear about DogBoy's? |
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| | Please specify |
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GENERAL INFORMATION ABOUT YOUR DOG
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| | How old was your dog when you got him/her? (if unsure, please estimate) |
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| | How and/or where did you get your dog? |
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| | Is your dog a (check all that apply): |
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| | If fence jumper or climber, list type of fence and height |
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| | Is your dog sound or sight sensitive
(check all that apply): * |
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| | Please explain any sound sensitivity: |
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| | How do you socialize your dog (check all that apply): |
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| | Does your dog show signs of aggression?
(check all that apply) * |
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| | Please explain any aggression issues: |
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| | Has your dog ever bitten anyone?
(check all that apply) * |
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| | Did he/she break skin? |
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| | Please Explain |
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| | Favorite Games w/Family/Owner
(check all that apply): |
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| | Where does your dog sleep?
(check all that apply): |
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| | How does dog react to crate? * |
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| | (If multiple dogs)
Can your dogs board in the same room together? |
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| | Comment
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| | On a scale of 1-5, how easy is it to groom your dog?
1 Being the easiest |
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| | Has you dog ever needed to be muzzled for grooming? * |
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| | What BRAND of dog food do you feed
(main meals)? |
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| | Check Feeding Habits |
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| | Does your dog have any allergies? * |
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| | Is yes, Please specify |
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| | Is your dog taking any medications? * |
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| | If Yes, Please specify |
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| | Is your dog currently on flea preventative? |
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| | What Kind: |
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| | Is your dog currently on heartworm preventative? |
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| | What Kind: |
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| | Has your dog ever had seizures? * |
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| | First Seizure Date: |
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| | Most Recent Seizure Date: |
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| | Seizure Medications: |
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| | Please list behavior problems your dog exhibits: |
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| | Please list goals for your dog: |
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| | Special Instructions: |
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| | I have read and agree to the Rules of the Game * |
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(By selecting the check box above, you are giving your online signature that the statement is true and correct)
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