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Guest Stay Policies
Guest Profile
Medical Release
Release
our friends
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Alexandria, VA
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Home
FOR CLIENTS
Guest Stay Policies
Guest Profile
Medical Release
Release
our friends
Contact Us
Guest Profile — Please complete this form entirely for each dog.
Owner's Information
Owner's Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Home Phone
(###)
###
####
Cell Phone
*
(###)
###
####
Email
Dog's Information
Name of Dog
*
Breed
*
Weight
*
Color
Birthday
MM
DD
YYYY
Checkbox
*
Male
Female
Spayed/Neutered
Method of flea/tick/heartworm control
*
Date each was given
*
Is your dog housebroken?
*
Yes
No
Usually?
Has your dog been ill in the past 30 days?
*
Yes
No
If so, please explain:
Has your dog had surgery in the past year?
*
Yes
No
If so, please explain:
Has your dog ever attended doggie daycare?
*
Yes
No
Has your dog ever been boarded in a crate-free environment?
*
Yes
No
If yes, where and how did your dog do?
Has your dog ever exhibited aggressive behavior towards people or other dogs?
*
Yes
No
If yes, please explain:
How do you discipline your pet?
*
EATING HABITS
Type and Brand of dog food?
*
How much per feeding?
*
How often?
*
Check your dog's eating habits:
*
Eats all food at mealtime
Nibbles throughout the day
Goes for periods without eating
Sometimes requires more palatable food to be mixed in to eat
Does your dog chew on his/her bedding?
*
Yes
No
Exercise Information
How many walks does your dog get daily?
*
One
Two
Three
How far is their average walk?
*
What kind of a leash are they used to? Check all that apply.
*
6 foot
15 foot
Retractable
Muzzle
Harness
Does your dog walk ok with other dogs?
*
Yes
No
Is your dog leash aggressive?
*
Yes
No
Any behavioral issues while walking?
*
Yes
No
If yes, please explain
Does your dog go to the dog park?
*
Yes
No
Has your dog ever been injured as a result of being at the dog park, dog daycare or playing with another dog?
*
Yes
No
What are your dog’s favorite activities?
Medical & Emergency Contact Information — Emergency Medical Care—If, in our best judgement, your dog requires immediate medical care and we are unable to reach you, we will take your dog to a veterinarian or animal hospital.
Expiration date of current Rabies vaccination
*
MM
DD
YYYY
Expiration date of current DHLPP vaccination
*
MM
DD
YYYY
Expiration date of current Bordatella vaccination (suggested every 6 months)
MM
DD
YYYY
Please describe any medical or physical problems, including allergies:
*
Emergency Contact (other than owner)
*
First Name
Last Name
Emergency Contact Relationship
*
Emergency Contact Cell Phone
*
(###)
###
####
AUTHORIZATION — By signing below, you confirm that everything stated in this form is correct to the best of your knowledge, and that you will provide further information upon future visits.
Name
First Name
Last Name
Signed Date
MM
DD
YYYY
Thank you!
