Owner Name
*
First Name
Last Name
Owner Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Owner Phone Number
*
(###)
###
####
Owner Email Address
*
Additional Owner Name (Spouse or Significant Other)
First Name
Last Name
Additional Owner Phone Number
(###)
###
####
Additional Owner Email
Emergency Contact Phone Number
*
(###)
###
####
Emergency Contact Email
Pet One: Approximate Age
*
Pet One: Birthday
*
MM
DD
YYYY
Pet Two: Approximate Age
Pet Two: Birthday
MM
DD
YYYY
Pet One: Male or Female?
*
Pet Two: Male or Female?
Pet One: Spayed / Neutered Status?
*
Lucky's Paw Playhouse requires all dogs be spayed or neutered by 8 months of age.
Pet Two: Spayed / Neutered Status?
Microchip Number(s) (If Applicable)
Describe your dog's feeding frequency and amount per serving:
*
You will bring your own food for boarding. We do not provide food for boarding. Please be specific on the food measurement and frequency. For example: "1.25 cups two times per day."
What brand and recipe of dog food do you currently feed your dog?
*
You will bring your own food for boarding. We do not provide food for boarding. We need to know the brand and specific recipe in case your dog ever runs out of food while in our care. Please be specific. For example: "Purina Pro Plan Focus, Adult, Large Breed, Salmon & Rice Formula."
Does your dog have any food allergies?
*
Veterinarian
*
Veterinarian Phone Number
*
(###)
###
####
Does your dog have any known medical conditions?
*
List any medications including dose and frequency:
*
Please list each dog's most recent rabies, distemper, and bordatella vaccination dates:
*
Lucky's Paw Playhouse requires all dogs be up to date on rabies, distemper and bordatella.
Please list your dog's flea and tick preventative medication type and frequency:
*
Lucky's Paw Playhouse requires all dogs be up to date on flea and tick preventative.
How does your dog react to meeting new people?
*
How does your dog react to meeting new dogs?
*
Does your dogs enjoy playing in a group setting with many other dogs?
*
Has your dog been in a fight or bitten another dog? If yes, please describe:
*
Has your dog ever bitten a person? If yes, please describe the situation and when it occurred:
*
Does your dog attempt to break out of crates or kennels by biting, bending, damaging or destroying them?
*
Does your dog try to escape fenced yards by digging, jumping, or climbing fences?
*
Describe any behavioral problems:
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Examples include: chewing walls, chewing clothes, digging, excessive barking, frequent fights with other dogs, etc.
Anything else you would like to tell us about your dog?
*
Please tell us how you heard about us.
