Lend-a-Pet Information Form
Health and Safety- It is imperative to us that we have the necessary info to give your pet the most enjoyable stay with the utmost care! **If you have multiple pets, please fill out a separate form for each! - YOUR PET WILL NOT BE PERMITTED TO STAY WITH US UNTIL THIS FORM IS SUBMITTED. THANK YOU!**
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Email *
Please Enter Today's Date *
Owner's First Name *
Owner's Last Name
Address  *
Phone Number *
Emergency Contact *
What services are you interested in? *
Pet's Name *
Date of Birth *
Breed/Color *
Sex *
Neutered/Spayed *
Vet Name  *
Vet Phone Number *
For safety, we ask you to provide a copy of your pet's vaccination records. How will you provide it? *
How long have you had your pet? *
From where did you obtain your pet?  *
Is your pet crate trained? *
Is your pet house trained (potty trained)? *
Does your pet have a microchip? (If so, please provide below) *
Date of last Vet check up? *
Is your pet up to date on all vaccinations? *
Is your pet on flea/tick preventative?  *
Is your pet on heartworm pill? *
Does your pet have any known allergies, medical problems, or restrictions? If so, please explain.
What times does your pet get fed? *
How much does your pet eat per meal? *
Any specific treats your pet likes?
Any special feeding instructions (foods to avoid)?
Please explain sleep routine (crate, bed etc. You are welcome to bring whatever will make your pet comfortable). *
Does your dog exhibit any of these behaviors? Check all that apply
Does your pet guard objects or food? *
Does your pet get along with other dogs? *
Has your dog ever snapped at another dog? Please explain. *
Has your dog ever bitten or gotten into a fight with another dog? Please explain. *
Is your pet afraid of fireworks or thunderstorms? *
Has your pet ever jumped or climbed a fence? If so, what height fence? *
Does your dog mount other dogs? *
Does your pet get along with cats? *
Has your dog been to training or obedience classes? *
Please list any other behavioral problems I should know about. (For example, doesn't like small dogs, jumps on counter, gets into garbage etc.)
Were you referred to us by someone? If so, by who? 
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