Four Paws Inn's Annual Background Information (Intake) Form (PLEASE NOTE: THIS FORM CANNOT BE USED TO SCHEDULE A DAYCARE OR BOARDING RESERVATION)
An updated version of our intake form for the 2017 year! The ten minutes a year you take to fill out this form will ensure we have the necessary information to make your dog's stays positive ones! Thanks!
Dog's Name
Your answer
Owner's First Name
Your answer
Owner's Last Name
Your answer
Email Address
Your answer
Mailing Address (Please include all components)
Example: 504 Mekkelsen Hill Road, Barre, VT 05641
Your answer
Home Phone Number
Your answer
Work Information (number/name etc.)
Your answer
Cell Phone Number (if applicable)
Your answer
Which is the best place to reach you?
Emergency Contact
Preferably NOT someone who is traveling with you. For boarding purposes it's good to have someone local if possible.
Your answer
Emergency Contact's Phone Number
Your answer
Dog's Breed, Weight and Age
Please include all three elements in your response, as these key pieces of information determine their kennel size and more!
Your answer
Is your dog spayed or neutered?
If your dog is intact please call us at 802-479-3554 after submitting this form, enabling us to plan ahead.
What's your dog's morning meal?
Your answer
What's your dog's evening meal?
Your answer
Any restrictions on your dog's diet?
Your answer
Does your dog take any medications?
Please write out specific directions for medication distribution. i.e AM or PM, with food or without, will gobble up in food or needs to be done separately, etc.
Your answer
Veterinarian's Name and Number
An office name will also help us here!
Your answer
Does your dog get along with other dogs?
Your answer
Does your dog jump fences?
Our fences vary in height, the lowest being about 4.5 ft and highest being 6ft. Please take these options into consideration, and talk with us about the best solution for your dog if they are potential jumpers.
Your answer
Does your dog come when called?
Your answer
Has your dog been boarded before? If so, where?
Your answer
How was their experience while boarding?
Your answer
Has your dog been to daycare before? If so, where?
Your answer
And how was their experience?
Your answer
Has your dog been groomed before?
Your answer
If applicable, how was their experience?
Your answer
How does your dog respond to strangers, children, and other dogs when approached in public and at home?
Your answer
How does your dog respond to other dogs while on a leash?
Your answer
Are their any restrictions that should be placed on your dogs activities?
Your answer
Does your dog bark when alone or have separation issues? If so, is there anything we can try to relieve their anxiety?
This question is very important to us, as we want your dog to have the best experience possible! If a thunder shirt or a Kong with peanut butter helps, we'd love to know!
Your answer
Is there anything that your dog is fearful of?
Your answer
Has your dog ever fought with another dog?
Your answer
Has your dog ever bitten a person?
Your answer
Are there any areas on your dogs body where they do not like to be touched?
Your answer
Where did you get your dog?
Your answer
How long have you had your dog?
Your answer
Is there any other information about your dog you'd like to add?
Your answer
We need a copy of your dogs up to date shot records, please bring them in with you or have your vet email them to us to be sure your dog has all required vaccinations or a blood titer in lieu of vaccinations. You can find a list of requirements on our website. We also require all dogs to be currently on flea and tick medication. We ask that you administer this at least 4 days before their stay here.
At Four Paws Inn, we do our best to ensure that every dog has a fun, safe and comfortable stay with us. However situations may arise when it is possible dogs may sustain injury or illness. PLEASE ENTER YOUR NAME AND THE DATE to affirm that you understand and agree that any problems or emergencies that arise with your dog will be treated as deemed best by you; or in the event that you or your emergency contact cannot be contacted, by the staff of Four Paws Inn and that you, as the dog's owner, will assume full financial responsibility for any and all expenses and will not hold Four Paws Inn, LLC, responsible for any fault or costs.
Please enter your name in it's entirety to show your agreement.
Your answer
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