Printer Friendly Form Click Here
Please fill in form below. All fields with * are Required fields and must be completed in order to send form.
*Owner’s Name:
*Home Phone:
*Address:
Cell Phone:
Business Phone:
*Email:
*Vet's Name:
 
*Vet's Phone:
 
*Dog’s Name:
*Breed:
*Date of Birth: 
*Sex:
Tattoo/Chip/Tag:
Spayed/Neutered:
*Colour/Style:
 
Markings:
 
 
Age of your dog when acquired?
Where did you acquire your dog?
Vaccinations current:
Veterinarian:
Type of Flea Prevention:
Type of Heartworm Prevention:
Medical Problems/Allergies?
On Medication?
Dosage/Instructions:
Special needs?
What Brand of food does your dog eat?
When and how much food does your dog eat?
How much does he/she poo per day? When?
Does he/she eat cat poo or dog poo?
Has your dog attended obedience classes?
Do you carry pet insurance?
Sensitive areas:
 
Traits:
Please check one
Yes            No
  
House/paper trained (if not we can help)
           
 
Litter trained
           
 
Protective of home/owners
           
 
Protective of food/water/treats
           
 
Protective of sleeping space
           
 
Protective of toys
           
 
Bites/Nips Humans
           
 
Bites Other Dogs
           
 
Has separation anxiety?
           
 
Talks/cries a lot?
           
 
Is an escape artist
           
 
Knows Name
           
 
Responds when called
           
 
Obeys simple commands
           
 
Is small dog/cat friendly
           
 
Is big dog friendly
           
 
May be given treats (list)
           
 
Has been in a group walk before
           
 
Barks at other dogs/cats/squirrels
           
 
Barks at humans
           
 
Chases Cars/Bicycles/Runners/Skaters
           
 
Chases other dogs/cats/squirrels
           
 
Chases humans
           
 
Likes men
           
 
Likes women
           
 
Is child-friendly
           
 
Is crate/kennel trained
           
 
Is flexy/leash trained
           
 
Can be muzzled
           
 
Restriction on activities
           
 
Plays with ball, toys  
           
 
Is aggressive (note triggers, reactions):
           
 
Chews things (furniture,cords)
           
 
Afraid of storms, fireworks, loud noises, vacuums..
           
 
Allowed on furniture
           
 
Jumps on People
           
 
Jumps Fences
           
 
Enjoys petting
           
 
Enjoys being brushed
           
 
     
Client Name:
Date:

 

About Us | Services | Location | Pup Pics | Guestbook | Forms | Contact Us
The Bed & Biscuit Doggie Daycare, Boarding & Spa
Copyright © 2006 - All Rights Reserved