Please complete the form below with all the
information that relates to your canine family members. If you
have more than 3 dogs, you will need to complete another Dog
Profile Form for your additional dogs.
We realize these forms seem lengthy, however we
want to provide the best care possible for your pets and need
all this information to complete that job
successfully!
Use
the "TAB" key to move from one
field to another.
DO
NOT hit the "ENTER" button until
you are ready to submit your completed
form. |
Bold fields are
required |
Pet Owner's
Name: |
|
Pet Owner's Phone
Number: |
|
Pet Owner's Email
Address: |
|
Dog #1
Information: |
Pet's
Name: |
|
Pet's
Sex: |
|
Pet's
Breed: |
|
Pet's
Size/Weight: |
|
Pet's
Color/Markings: |
|
Pet's
Description: |
|
Pet's Age or Date of
Birth: |
|
How long has this pet
owned you? |
|
Is pet spayed or
neutered? |
|
Is pet currently
pregnant? |
|
Is pet current on
shots? |
|
Enter date of last
shots: |
|
Enter pet's license
number: |
|
Preferred Vet/Clinic:
(include name and phone number) |
|
If more than one Vet/Clinic, enter
information here: |
|
Dog #2 Information: (required for second
dog)
(if only 1 dog, page down to "Other
Pet Information") |
Pet's Name: |
|
Pet's Sex: |
|
Pet's Breed: |
|
Pet's Size/Weight: |
|
Pet's Color/Markings: |
|
Pet's Description: |
|
Pet's Age or Date of
Birth: |
|
How long has this pet owned
you? |
|
Is pet spayed or
neutered? |
|
Is pet currently
pregnant? |
|
Is pet current on
shots? |
|
Enter date of last
shots: |
|
Enter pet's license
number: |
|
Dog #3 Information: (required for third dog)
(if only 1 or 2 dogs,
page down to "Other Pet
Information") |
Pet's Name: |
|
Pet's Sex: |
|
Pet's Breed: |
|
Pet's Size/Weight: |
|
Pet's Color/Markings: |
|
Pet's Description: |
|
Pet's Age or Date of
Birth: |
|
How long has this pet owned
you? |
|
Is pet spayed or
neutered? |
|
Is pet currently
pregnant? |
|
Is pet current on
shots? |
|
Enter date of last
shots: |
|
Enter pet's license
number: |
|
Other Pet
Information |
Use flea or tick control
on pets? |
|
Use heartworm
preventative? |
|
Are your pets
housebroken? Please give
details. |
|
|
Are your pets obedience
trained. Please give details including commands, and if unique
words, their expected
response: |
|
|
If
pets are not obedience trained, please give commands they will
respond to, if any: |
|
|
Do your pets walk well on
the leash? Please give details regarding this
issue: |
|
|
Describe walk or exercise
restrictions: |
|
Describe normal walk
routine: |
|
Describe each pet's
personality: |
|
Are pets friendly?
Describe each pet: |
|
History of aggression
with any of your pets? Describe: |
|
Any fears/phobias?
Describe: |
|
Using the words (Excited, Friendly, Aloof, Cautious, Scared,
Defensive and Aggressive) please descibe each dog's
attitude with strangers. If more than one word applies, use as
many as necessary. Indicate by pet
name. |
|
|
Have pets ever bitten?
Give details: |
|
Describe each pet's
attitude with other animals: |
|
How certain are you that
your pets will not bite our
sitters? |
|
Pet's favorite treats,
how given and location: |
|
Pet's favorite
activities: |
|
Pet's favorite toys and
location: |
|
Please give detailed
feeding instructions. You should include food brand, food
location, amount to be given, number of times per day and
feeding location: Be sure to give details regarding any food
aggression issues. |
|
|
What forms of water do
you offer your pet? |
|
Describe pet's sleeping
arrangements: |
|
Are there any physical
conditions or situations? Give
details: |
|
Are there any recent
illnesses? Give details: |
|
Any contagious illnesses?
Give details: |
|
Please list below any
medications that will need to be administered in your absence.
Be sure to list the following: which dog, medicine name,
dosage, number of times per day, time frame for each dose and
the medication location. If no medications, enter
"none". |
|
|
Additional medicine/medical
instructions: |
|
Any additional care
instructions? |
|
Any other situations we
should know about regarding your
pet? |
|
I certify, by entering my
initials and last 4 digits of my Social Security number, that
the above information is correct to the best of my knowledge
and that I will notify Big Dog and Miss Kitti's Pet Sitting
Services of any changes to the above prior to the start of any
Service Period. |
Pet Owner's
Initials: |
|
Pet Owner's last 4 digits
of Social Security number: |
|
|
Email: |
|
|