Pet Information Form   
This form must be completed and submitted prior to, or at registration of your dog for boarding.

OWNER INFORMATION:

Name:_________________________________________________________
            First                                                               Last

Address: ____________________________________________________________________________________________________________________
               Street                                                                                                                      City                                State                                    Zip

Email:  ______________________________________________________________________________________________________________________

Home Phone:_________________________________________Cell Phone_____________________________ Work Phone________________________

Local Emergency Contact________________________________________________________________________________________________________
                                          First name                                              Last                                                                      Phone    

Veterinary Clinic: _____________________________________________________________________________Phone  ____________________________

How did you hear about us? ______________________________________________________________________________________________________

Drop Off Date: ______________________ Time:________________  Drop off time is after 8:00 a.m. and prior to 5 p.m. unless other arrangements are made

Pick-up Date:_______________________ Time:________________   Pick-up time is prior to 12:00 Noon or an additional Day Care rate will apply.

PET INFORMATION:

If you have multiple pets please fill out multiple forms

Pet Name:_________________________________________________________Pet Breed: ____________________________________ Gender:________

Color: __________________________________________Spayed or Nuetered?   YES  /  NO                     Bites?  YES  /  NO            Weight? ____________

Birthdate:___________________________Age:___________________

Is your pet allowed in the rain?   YES  /  NO          

Any Medical Problems? __________________________________________________________________________________________________________


Feeding Instructions: Please have your dogs food separated into zip lock baggies for each meal.  Label the baggie with your dogs name and date. 

How often do you feed? _________________________________________________Any special instructions:______________________________________

______________________________________________________________________________________________________________________________

Has your dog ever jumped over a 5 ft fence?  If yes, please explain_________________________________________________________________________

______________________________________________________________________________________________________________________________

Is your dog scared of men?  If yes, please explain______________________________________________________________________________________

Is your dog possessive of any toys, food or objects?  If yes, please explain___________________________________________________________________

______________________________________________________________________________________________________________________________


How does your dog play / Interact with other dogs? _____________________________________________________________________________________

How does your dog react to small dogs or puppies?_____________________________________________________________________________________

Has your dog ever bitten, snapped or lunged at someone?  If yes, share the circumstances and extent of injuries, if any________________________________

______________________________________________________________________________________________________________________________

Is your dog sensitive to certain areas of it's body?  If yes, please explain_____________________________________________________________________

What restrictions need to be placed on your dog's activities or movements?___________________________________________________________________

Other issues? Please explain_______________________________________________________________________________________________________



Please do not hesitate to contact us with any questions.  CentralCoastGermanShepherds@fgmail.com