Individual Dog Information Sheet Please circle answers that apply. There is space on the back for long answers. Dog’s Name: _________________________ Age: _________________________ Breed or type: ________________________________________________________ Sex: _____ Neutered? __Yes __No Regular Brand of Food: ___________________________ Diet Restrictions? __Yes __No If Yes, what are they? __________________________________________________________ Favorite treats or snacks: ______________________________________________________ Do you feed your dog: __morning, __evening, __free choice? Amount each feeding? _______ If your dog runs out of food during his/her stay with us, would you like Julie to purchase their brand (would save the receipt for reimbursement) or would you like Julie to feed them the “kennel” food (prices vary depending on amount) ____________________________________ Has your dog ever bitten anyone? __Yes __No (If so, please be sure this is discussed with Julie.) Is your dog aggressive with other dogs? __Yes __No Would it be ok if your dog went out for “play time” with other boarding dogs (of about the same age and size, if Julie feels like it will be safe)? __Yes __No Does your dog climb or dig out of fences? __________________________________________ Does your dog play “keep away” when you call it? ___________________________________ Is your dog protective of toys or food? ____________________________________________ Does your dog know any obedience commands? ____________________________________ JP 04/20 What sort of tricks or games does your dog like? _____________________________________ _____________________________________________________________________________ Does your dog like to play with other dogs? (There may be times where we will turn your dogs out into the exercise yard with other dogs to play. They will be supervised closely the first few times to ensure the safety of any and all of the dogs) _________________________________ _____________________________________________________________________________ Regular Veterinarian name and phone number: ______________________________________ _____________________________________________________________________________ Does your dog have any on-going medical issues? ____________________________________ What is your regular Heartworm Medication and Flea/Tick Control? _____________________________________________________________________________ Copy of vaccination certificate provided? __Yes __No Date of vaccinations? _________________ Any other comments or information we should have to ensure a safe and positive boarding experience: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ JP 04/20