New Client Intake Form
Please fill in as much information as you can as it helps me keep track of important items related to your dog's care. This form assures that no detail will be missed.

I look forward to spending time with your pup!
First Name*
Last Name*
Email*
Phone Number
Physical Address (Street, City, State, Zipcode)*
How did you hear about us?
Emergency Contact that will NOT be traveling with you*
Dog's Name*
Dog's Birthday
Dog's Age*
Dog's Breed
Sex of Dog*
Intact Male
Neutered Male
Intact Female
Spayed Female
What kind of food does your dog eat?*
Kibble
Wet Food
Raw Food
Other
If "other" food type, describe here:
How much food do they eat and how often*
Do they eat all at once or are they a grazer?*
All at once
Grazer
Depends
Other
If selected "other" or "depends", please explain here
Does your dog have any allergies*
Has your dog had any surgeries or past injuries that would affect their stay with us?*
Is your dog up to date on flea treatment and vaccinations?*
Yes
No
Up to date on flea/tick but not vaccinations
Up to date on vaccinations but not flea/tick treatment
Unsure
Upload your vaccine records here:
What commands/training does your pup know?*
Sit
Stay
Lay down/down
Go to Bed/Place/Home
Down/Off
Shake
Recall (coming when called)
Door Manners
Other
If selected "other" explain here:
Would you consider your dog an escape artist?*
no
yes
other
If selected "other", please explain here:
Is your dog fully potty trained?*
yes
no
other
If selected "other" for potty training, please explain here:
How Often Does Your Dog Require Potty Breaks?
Every Hour
Every 2 hours
Every 4 hours
Every 6 hours
Every 8 hours
What is your dog's crate experience?*
How long can your dog be left alone?*
1 hour or less
2 - 4 hours
4 - 6 hours
6 - 8 hours
How many updates would you like during your pet's stay?
Every day
Every other day
Once a week
I don't want updates
What is your Dog's energy level?
High Energy
Moderate Energy
Low Energy
How does your dog interact with children?*
How does your Dog interact with other Dogs?*
What are their likes and dislikes? Any fears or triggers we should be aware of?*
Does your dog have any strange/silly quirks? (eating strange objects or materials, humping, frequent burping/farting, consuming too much water etc.)*
Does your Dog show ANY signs of aggression? With food, toys, towards men, when touched while sleeping? If yes, please explain.*
Does your dog have separation or general anxiety? If yes, do you have an item or routine to help the stay calm?*
List your Dog's Veterinary Clinic and Veterinarian*
What is the OWNER'S First and Last name your dog is registered under at their clinic?*
Anything else we should know?