Pet Boarding Intake Form

Last Name:      First Name:

Address: /128 id:streetaddress]

City, State, Zip:

Email: Home Phone:  Work Phone:  Cell/Other Phone:

Emergency Contact: (please provide as much as possible)
Home Phone: Work Phone: Cell/Other Phone:

Drivers License Number (required by NC state law): State:

Has your pet ever boarded with us before? YesNo

Arrival Date: (MM-DD-YY)

Departure Date: (MM-DD-YY)

How did you hear about us?

Vet Practice:

Please provide the following:
Vet Phone: Vet After Hours Phone:

And most importantly, please tell us about your pets:

Name Breed Weight Color Sex Age
yrs
yrs
yrs
MaleFemale yrs
yrs
yrs

We want to learn all we can about your pet.

Answering the following questions is step one of our process to match your pet with other similar animals so that we can maximize fun and activities while they stay with us at Top Dog Kennel.

We strive to follow your daily ritual while your pet stays at this “home away from home”. Please be as specific as possible.

We feed premium food for your pooch at no additional charge. Should we provide: DryWetBoth/MixedOwner will provide

**If providing your pet's own food we ask that it is brought in an airtight sealed container.**

What trigger word does your dog know when it is time to eat?

What trigger word does your dog know when it is bathroom time?

Takes daily walks?

Loves walks?

Likes/Loves to play with other dogs?

I take my dog to dog parks....YesNo

My pet does not like when: (ex. ears touched, front leg touched, etc.)

What name does your pet know you as? (ex. Mommy, Daddy, etc.)

Has your pet ever been engaged in a fight or shown signs of aggression? What happened?
Was anyone hurt?

Give us a couple adjectives which describe your dog. (ex. smart, active, mischievous, etc.)

What is your pets favorite activity?

What else should we know about your pet?

I hereby certify that all information listed above is true and correct.

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