|
Owner ______________________________________________ Dog’s Call Name: _______________-________
Breed(s) if mixed _____________________________ Dog’s Age ____ Date of Birth (MM/YY)_____________
Markings/Color _____________________________________
Sex: _______ Spay/Neutered ___________ Un-spayed female when do you expect next heat? ______________
Veterinary Clinic _________________________________Phone _____________ Fax ___________
Date last Vaccination ________ Date last Bordatella ______ Puppy (date last booster) _______
Brand Heartworm Prevention ________________ Given on ______ day of month
Brand of Flea/Tick Prevention ________________ Given on ______ day of month
Other Medications _________________________________________________________________
Describe your dogs general health. _____________________________________________________
Any old scars or injuries? ____________________________________________________________
Is this the first time you will be away from your dog for an extended period of time? Yes/No
If “No” - Has your dog ever been boarded before? Yes/No
If “No” - Who watched your dog when you were away before? ___________________________
FEEDING
What brand food do you feed? ________________________________________________________
How much do you feed? (Ex:1 cup or 1/2 can ) ___________________________________________
When do feed? (Ex: Twice a day or fill bowl in AM) _______________________________________
Is your dog possessive of its food? _________________
Overall my dog is ________________________________. (Shy, aggressive, very sociable, etc.)
What social environments has your dog been in? Dog Parks/Training Classes/Pet Stores
Other ____________________________________________________________________________
My dog loves/likes - Family members only/Everyone/Men more than women/Women more than men/Children/Other dogs.
My dog dislikes/hates ______________________________________________________________
Behavioral Problems - Biting/Chewing/Barking/Digging/Jumping/Climbing/Escape Artist
Other ____________________________________________________________________________
TRAINING
My dog has been trained to - sit w/command __________________________________
lie down w/command _____________________________
walk on leash - Yes/No
tricks __________________________________________
other ___________________________________________
I allow my dog to jump up on me. Yes/No
At home my dog: Stays outside/Stays inside with walks/Stays inside and let out into a yard.
Items I am leaving with my dog: Bedding __________ Toys _______________ Other __________
Any other information A.P.B. should know about your dog. _____________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________
Comments by A.P.B. personnel: ___________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________
|
|
Canine Information Sheet |
|
Affordable Pet Boarding, LLC 87-1250 Hakimo Road Waianae, HI 96792 Phone: 808-668-2622 Fax: 808-664-1367 |