Boarding Intake Form

Human Name(s)

First Name

Last Name

First Name

Last Name

First Name

Last Name

Dog's name

Phone number for best contact

(###)

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Name of emergency contact

First Name

Last Name

Phone number for emergency contact

(###)

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Name of your primary veterinarian

Phone number for primary veterinarian

(###)

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Emergency vet preference

Dog's age

Dog's breed

How much does your dog weigh?

Food allergies

Is your dog typically fearful of other dogs?

If you selected "sometimes" or "not sure", please elaborate:

If your dog is fearful of other dogs, do they need a visual barrier present at all times?

(Will they freak out or panic if they see another dog in a kennel?)

Is your dog typically fearful of other humans?

If you selected "sometimes" or "not sure", please elaborate:

Has your dog been kenneled before?

If so, where?

Please list any daily medications and/or supplements (please include daily dosage and how you typically give the medication)

Please describe any medical conditions your dog has

How much does your dog eat at each meal? If you're measuring in scoops, please bring the scoop when you drop them off)

How many times a day does your dog eat?

Please list the flea, tick, and heartworm preventatives you use with your dog

When was the last time flea, tick, and heartworm preventatives were administered?

YYYY

Other notes

Does your dog like car rides?

If your dog does enjoy car rides, am I authorized to take them on rides to pet stores, hardware stores, etc?

May I give your dog a calming supplement if I feel it would be beneficial?

The calming supplement I use in the kennels is called Nootie Progility Calming Aid

May I offer your dog peanut butter and other dog-safe spreads?

May I offer your dog rawhide-free chews?

Has your dog ever torn up/shredded blankets or fabric?