CLIENT PROFILE AND AGREEMENT

Name
_____________________________________
Address
_____________________________________
Address
_____________________________________
City
_____________________________________
State
_____________________________________
Zip Code
_____________________________________
Home Phone
_____________________________________
Work Phone
_____________________________________
Cell Phone
_____________________________________
Cell Phone
_____________________________________
Employer
_____________________________________________________
How did you hear about Tails R Waggin?
Referral
If a referral, please provide name; we'd love to reward our customer with a free day of daycare.
________________________________________________________________________
Yellow Page Add
Web Search
Vet
TV
Drive By
Other

Emergency Contact (Should not be the same as above)
Name
_____________________________________
Relationship
_____________________________________
Phone
_____________________________________
Cell Phone
_____________________________________

Pet Information
Name
_____________________________________
Nickname
_____________________________________
Breed
_____________________________________
Color
_____________________________________
Male/Female
_____________________________________
Birthdate
_____________________________________
Weight
_____________________________________
Is your pet spayed/neutered?
Yes
No
Tails R Waggin prefers your dog over the age of 6 months to be spayed or neutered; otherwise, they may have to be kept separated from play groups and a special daily handling fee may apply.
Method of Heartworm protection
_____________________________________
Current
Yes
No
If attending Daycare or Boarding
Any health concerns? ______________________________________________
Medications (dosages, frequency, etc.) ______________________________________________
Feed Instructions (amount, frequency) ______________________________________________
Are there any treats we CAN NOT offer your pet? ______________________________________
Any Allergic reactions? ______________________________________________
Has your dog been abused by anyone you are aware of? _________________________________

Veternarian - please bring a copy of vaccination records with you or have your veternarian fax us a copy prior to your arrival to avoid delays checking in. The minimum requirements are:

Dogs
  • Rabies, DHLPPC (distemper combo)
  • Bordetella given within 12 months of boarding.
  • negative fecal in the last 12 months or deworming with 30 days of boarding.
Cats
  • FVRCP
  • Rabies
Name of Animal Hospital ___________________________________________
Doctor ___________________________________________
Phone ___________________________________________
Owner Profile
  1. How old was your dog when you got him/her?
    _____________________________________________________________________________________________
  2. Where did you get him/her?
    _____________________________________________________________________________________________
  3. If your dog is a rescue dog, what information do you have about your dog's past history?
    _____________________________________________________________________________________________
  4. How long is your dog left alone during the weekdays?
    _____________________________________________________________________________________________
  5. Where does she/he stay during that time?
    _____________________________________________________________________________________________
  6. Is your dog crate trained?
    _____________________________________________________________________________________________
  7. Is your dog house trained?
    _____________________________________________________________________________________________
Dog Personality Profile
  1. Does your dog have any behavioral issues or destructive habits when left alone? If so, please explain.
    _____________________________________________________________________________________________
  2. Does your dog bark a lot? If so, what provokes it?
    _____________________________________________________________________________________________
  3. Does your dog get frightened by unfamiliar noises? If so, please explain.
    _____________________________________________________________________________________________
  4. Where does your dog fit in the hierarchy of your pets; like is he dominate (rules the roost) or
    submissive (a pleaser)?
    _____________________________________________________________________________________________
  5. Does your dog react in any specific way to puppies?
    _____________________________________________________________________________________________
  6. Does your dog have a fear of thunderstorms? If so, what happens? Do you ever medicate?
    _____________________________________________________________________________________________
  7. Has your dog ever jumped or climbed over a fence? If so, how high?
    _____________________________________________________________________________________________
  8. Has your dog ever bitten a person or another dog? Yes No
    If yes, please describe.
    _____________________________________________________________________________________________
  9. Can you take a food based item away from your dog without them growling?
    _____________________________________________________________________________________________
  10. Has your dog ever socialized with a large group of dogs (more than 6), perhaps at a dog park?
    If yes, please describe.
    _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________
  11. Is there any type of person (children, men, etc.) your dog routinely dislikes or fears?
    If so, please describe?
    _____________________________________________________________________________________________
  12. Is there any type of dog (specific breed, male, female, etc.) your dog seems to have a problem with?
    If yes, please describe.
    _____________________________________________________________________________________________
  13. Does your dog show a particular fondness or interest toward a specific breed of dog?
    _____________________________________________________________________________________________
  14. Does your dog play with any particular toys? Does he/she share with other animals?
    _____________________________________________________________________________________________
  15. Does your dog growl or snap if another dog takes their toy?
    _____________________________________________________________________________________________
Dog Health Profile
  1. Does your dog have any 'old' injuries or medical condition that we should be aware of while they attend daycare or boarding at Tails R' Waggin?
    _____________________________________________________________________________________________
  2. Are there any restrictions that should be placed on your dog's activities?
    _____________________________________________________________________________________________
  3. Does your dog take any medication for chronic illness?
    If so, for what ailment(s)?
    _____________________________________________________________________________________________
  4. Does your dog have allergies?
    If so, what allergies?
    _____________________________________________________________________________________________
  5. What brand of dog food does your dog eat?
    _____________________________________________________________________________________________

    Dog Health Profile - Continued
  6. Does your dog have a sensitive stomach to any foods or treats?
    _____________________________________________________________________________________________
  7. Are there any areas on your dog's body that does not like to be touched by humans (ears, paws, etc.)?
    _____________________________________________________________________________________________
Dog Etiquette
  1. How does your dog react to strangers coming into (or near) your home/yard?
    _____________________________________________________________________________________________
  2. Do visitors bring dogs to your home? Yes No
    If yes, how does your dog react?
    _____________________________________________________________________________________________
  3. Is it common for your dog to jump on you or other people?
    If so, how do you respond to this?
    _____________________________________________________________________________________________
  4. Will your dog readily share toys with other dogs?
    _____________________________________________________________________________________________
  5. Does your dog wrestle with other dogs? Yes No
    If yes, does your dog usually take the top or bottom position when wrestling?
    Top Bottom No Preference
  6. How does your dog do on walks? Does he pull on a leash?
    _____________________________________________________________________________________________
  7. When your dog meets another dog (off-leash), describe your dog's greeting.
    _____________________________________________________________________________________________
  8. Has your dog ever played with dogs less than 15 pounds?
    _____________________________________________________________________________________________
  9. If your pet requires medical attention, would you like us to contact your veternarian or leave to the discretion of Tails R' Waggin? Please specify....
    _____________________________________________________________________________________________
    Please share any other information you would like us to know about your pet while attending Tails R' Waggin.

    ________________________________________________________

    ________________________________________________________

    ________________________________________________________

    Thanks for choosing Tails R' Waggin
    "Your pet's destination of choice to play, stay and
    be treated like one of the family!"
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