About
Your
Dog

Your dog(s) name*

Your name*

Your mobile phone*

Your email*

Does your dog have any medical or behavioral issues or injuries I should be aware of?*
yesno
If yes, please give details and instructions.

Medications. Include dosage and frequency. Enter 'none' if no meds.*

Rabies Vaccination is current until what date?*

What Flea and Tick preventative do you use and when was the last dose?*

I am home most of the time, but do go grocery shopping or to appointments. Is your dog ok being left alone?*
yesno
Anything I should know about being left alone?

Does your dog need to be crated when alone or at night?*
yesno
Anything I should know about crating?

Favorite toys:
Will your dog easily share toys?* yesno
If no, what does your dog do?

Favorite treats:
Warn me now:) Does your dog take treats gently or will I get my fingers chomped?

What command do you use to call your dog to come?*

What does your dog do to let you know they need to go outside?*

Does your dog have accidents in the house?*

Does your dog respect a boundary, such as a stand alone gate?*

I just like to be prepared! Do any of the following apply to your dog?
Aggression towards childrenAggression towards menAggression towards catsFear of loud noises, such as thunderOther anxietiesGetting into the trashChewing shoes or slippersResource guarding (food, water, you, the doorway etc.)Dashing out the door
Elaborate, if needed:

What other information would you like me to know?

I have filled out the above information truthfully on this date*
Signed:*

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