Dog Information SheetOwner name(s):

Address:

Telephone: Home Cell Work

Email:

Dog’s Name: Dog’s age: Sex: M F

Colors/Markings:

Weight:Y NSpayed/Neutered:

Rabies Tag:

Breed:

Rabies Expiration Date:

Feeding Schedule: AM PM AM PM AM PM

Special feeding instructions, treats etc:

Is your dog taking any medications: Y N

If yes, please provide a list of meds and instructions for administration in the space below:

Please tell us about your dog’s habits and temperament, it will help us in providing better care for your pet.

Favorite game(s):

Does your dog havefavorite hidingplace(s)?

Where do you keep the collar and leash?

Does your dog have a special harness or collar for walks? Y N

Y NFriendly toward other dogs?

Y NFriendly to children? Y NIs prone to digging?

Y NFriendly toward adults?

Y NIs fearful of noises or sudden moves?

Y NIs prone to chewing?

Y NIs allowed in house? Y NIs allowed to have treats?

Y NObeys basic commands?

Y NHas your dog ever bitten other people or dogs? If yes, explain in the space below:

Y NDoes your dog show food aggression or other aggression? If yes, explain in the space below:

Please add any additional information that will help us to provide care for your pet: