Pet/Client Profile

You can complete this profile by filling it out online and clicking below to submit, or you can download a PDF here, print it out and bring the completed form with you to the first visit.

Step 1 of 8

12%

Name(Required)

First Last

Phone(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Emergency Contact Name

First Last

Emergency Contact Phone

Veterinarian Name

First

Name of Practice

Who referred you to Red Rover?

What led you to look for a new place for day care/ boarding?

How Many Dogs do you have?(Required)

Info for 1st Dog

Name of Dog 1

Your Dog's Name

Gender of Dog 1

Is Dog 1 Spayed or Neutered?

Dog 1 Breed

Dog 1 Weight

Dog 1 Birth Date

MM slash DD slash YYYY

Vaccinations

Dog 1 Distemper Expires On:

MM slash DD slash YYYY

Dog 1 Bordatella Expires On:

MM slash DD slash YYYY

Dog 1 Rabies Expires On:

MM slash DD slash YYYY

Special Needs

Dog 1 Medical Issues

Allergies

Seizures

Diabetic

Organ Problems

None

Other

Dog 1 Physical Issues

Deaf

Blind

Bad Hips

Weak Legs

Missing Leg

None

Other

Dog 1 Sensitivities

Thunder & Loud Noise

Being with Too Many Dogs

Being Alone

Heat

Overall Timid

None

Other

Please describe any other medical issues for Dog 1.

Please describe any other physical issues for Dog 1.

Please describe any other sensitivities for Dog 1.

If you are not the original owner, why did the previous owner give up Dog 1?

Is there any history of abuse of Dog 1?

If Dog 1 has been to day care or boarded before, how would you describe their experience?

Fell Right Into Routine

Barked A Lot

Did Not Eat Well

Anxious

Did Not Play Well With Others

Other

Please describe their experience for Dog 1.

If this is the first-time for day care or boarding, how do you think Dog 1 will respond?

Enjoy Other Dogs

Nervous

Barked A Lot

Not Eat Well

Cry

Be The Boss

Settle In Quick

Other

With other dogs how would you classify Dog 1?

Submissive

Follower

Leader

Dominate

Not Sure

What is the energy level Dog 1?

High

Medium

Low

Please describe how you think Dog 1 will respond.

Is Dog 1 used to a leash?

Any issues with the leash for Dog 1? (Example: Overly protective, tends to be aggressive, pulls, etc.)

How many friends does Dog 1 have?

How often does Dog 1 meet new dogs?

Dog 1 warms up to new dogs

Would you say Dog 1 is most comfortable...

What kind of dog does Dog 1 prefer to play with? Check all that apply.

Big

Small

Mid-Size

Older

Younger

Energetic

Calm

Not Sure

What kind of dog does Dog 1 prefer NOT to play with? Check all that apply.

Big

Small

Mid-Size

Older

Younger

Energetic

Calm

Not Sure

What tendencies does Dog 1 display when meeting another dog? Check all that apply.

Tucks Tail

Cowers

Rolls On Back

Barks And Then Settles In

Stands Stiff And Looks Out Of Side Of Head

Has Dog 1 ever bitten or gone after another dog? If yes, please explain.

Has Dog 1 ever been attacked by another dog or animal? If yes, please explain.

Has Dog 1 ever bitten or gone after a person? If yes, please explain.

When do you feed Dog 1?

First thing

Mid-morning

Noon

Mid-afternoon

Evening

How much do you feed Dog 1?

Has Dog 1 ever climbed/tried to climb a fence?

What are the 3 things you like the most about Dog 1?

What are the 3 things you like the least about Dog 1?

Please check all that apply to Dog 1 ...

Jumps on people/pulls on leash

Fearful of dogs

Charges front door when someone arrives

Barks at anyone/thing outside

Separation anxiety

Excessive vocalization when left alone

Chews furniture or anything else

Fearful of dogs

Urinates when excited or scared

Darts out door

Digs in yard

Play biting

Not house trained

What is most important to you as far as Dog 1’s day care/boarding experience goes?

Please tell us any SPECIFICS we can do that would make Dog 1 happy and relaxed and enjoy his/her stay at Red Rover (example: Fred LOVES his ears scratched inside and a good rub outside. Ethel loves something to chew on and tear apart!)

Additional Comments on Dog 1

Info for 2nd Dog

Name of Dog 2

Your Dog's Name

Gender of Dog 2

Is Dog 2 Spayed or Neutered?

Dog 2 Breed

Dog 2 Weight

Dog 2 Birth Date

MM slash DD slash YYYY

Vaccinations

Dog 2 Distemper Expires On:

MM slash DD slash YYYY

Dog 2 Bordatella Expires On:

MM slash DD slash YYYY

Dog 2 Rabies Expires On:

MM slash DD slash YYYY

Special Needs

Dog 2 Medical Issues

Allergies

Seizures

Diabetic

Organ Problems

None

Other

Dog 2 Physical Issues

Deaf

Blind

Bad Hips

Weak Legs

Missing Leg

None

Other

Dog 2 Sensitivities

Thunder & Loud Noise

Being with Too Many Dogs

Being Alone

Heat

Overall Timid

None

Other

Please describe any other medical issues for Dog 2.

Please describe any other physical issues for Dog 2.

Please describe any other sensitivities for Dog 2.

If you are not the original owner, why did the previous owner give up Dog 2?

Is there any history of abuse of Dog 2?

If Dog 2 has been to day care or boarded before, how would you describe their experience?

Fell Right Into Routine

Barked A Lot

Did Not Eat Well

Anxious

Did Not Play Well With Others

Other

Please describe their experience for Dog 2.

If this is the first-time for day care or boarding, how do you think Dog 2 will respond?

Enjoy Other Dogs

Nervous

Barked A Lot

Not Eat Well

Cry

Be The Boss

Settle In Quick

Other

With other dogs how would you classify Dog 2?

Submissive

Follower

Leader

Dominate

Not Sure

What is the energy level Dog 2?

High

Medium

Low

Please describe how you think Dog 2 will respond.

Is Dog 2 used to a leash?

Any issues with the leash for Dog 2? (Example: Overly protective, tends to be aggressive, pulls, etc.)

How many friends does Dog 2 have?

How often does Dog 2 meet new dogs?

Dog 2 warms up to new dogs

Would you say Dog 2 is most comfortable...

What kind of dog does Dog 2 prefer to play with? Check all that apply.

Big

Small

Mid-Size

Older

Younger

Energetic

Calm

Not Sure

What kind of dog does Dog 2 prefer NOT to play with? Check all that apply.

Big

Small

Mid-Size

Older

Younger

Energetic

Calm

Not Sure

What tendencies does Dog 2 display when meeting another dog? Check all that apply.

Tucks Tail

Cowers

Rolls On Back

Barks And Then Settles In

Stands Stiff And Looks Out Of Side Of Head

Has Dog 2 ever bitten or gone after another dog? If yes, please explain.

Has Dog 2 ever been attacked by another dog or animal? If yes, please explain.

Has Dog 2 ever bitten or gone after a person? If yes, please explain.

When do you feed Dog 2?

First thing

Mid-morning

Noon

Mid-afternoon

Evening

How much do you feed Dog 2?

Has Dog 2 ever climbed/tried to climb a fence?

What are the 3 things you like the most about Dog 2?

What are the 3 things you like the least about Dog 2?

Please check all that apply to Dog 2 ...

Jumps on people/pulls on leash

Fearful of dogs

Charges front door when someone arrives

Barks at anyone/thing outside

Separation anxiety

Excessive vocalization when left alone

Chews furniture or anything else

Fearful of dogs

Urinates when excited or scared

Darts out door

Digs in yard

Play biting

Not house trained

What is most important to you as far as Dog 2’s day care/boarding experience goes?

Please tell us any SPECIFICS we can do that would make Dog 2 happy and relaxed and enjoy his/her stay at Red Rover (example: Fred LOVES his ears scratched inside and a good rub outside. Ethel loves something to chew on and tear apart!)

Additional Comments on Dog 2

Info for 3rd Dog

Name of Dog 3

Your Dog's Name

Gender of Dog 3

Is Dog 3 Spayed or Neutered?

Dog 3 Breed

Dog 3 Weight

Dog 3 Birth Date

MM slash DD slash YYYY

Vaccinations

Dog 3 Distemper Expires On:

MM slash DD slash YYYY

Dog 3 Bordatella Expires On:

MM slash DD slash YYYY

Dog 3 Rabies Expires On:

MM slash DD slash YYYY

Special Needs

Dog 3 Medical Issues

Allergies

Seizures

Diabetic

Organ Problems

None

Other

Dog 3 Physical Issues

Deaf

Blind

Bad Hips

Weak Legs

Missing Leg

None

Other

Dog 3 Sensitivities

Thunder & Loud Noise

Being with Too Many Dogs

Being Alone

Heat

Overall Timid

None

Other

Please describe any other medical issues for Dog 3.

Please describe any other physical issues for Dog 3.

Please describe any other sensitivities for Dog 3.

If you are not the original owner, why did the previous owner give up Dog 3?

Is there any history of abuse of Dog 3?

If Dog 3 has been to day care or boarded before, how would you describe their experience?

Fell Right Into Routine

Barked A Lot

Did Not Eat Well

Anxious

Did Not Play Well With Others

Other

Please describe their experience for Dog 3.

If this is the first-time for day care or boarding, how do you think Dog 3 will respond?

Enjoy Other Dogs

Nervous

Barked A Lot

Not Eat Well

Cry

Be The Boss

Settle In Quick

Other

With other dogs how would you classify Dog 3?

Submissive

Follower

Leader

Dominate

Not Sure

What is the energy level Dog 3?

High

Medium

Low

Please describe how you think Dog 3 will respond.

Is Dog 3 used to a leash?

Any issues with the leash for Dog 3? (Example: Overly protective, tends to be aggressive, pulls, etc.)

How many friends does Dog 3 have?

How often does Dog 3 meet new dogs?

Dog 3 warms up to new dogs

Would you say Dog 3 is most comfortable...

What kind of dog does Dog 3 prefer to play with? Check all that apply.

Big

Small

Mid-Size

Older

Younger

Energetic

Calm

Not Sure

What kind of dog does Dog 3 prefer NOT to play with? Check all that apply.

Big

Small

Mid-Size

Older

Younger

Energetic

Calm

Not Sure

What tendencies does Dog 3 display when meeting another dog? Check all that apply.

Tucks Tail

Cowers

Rolls On Back

Barks And Then Settles In

Stands Stiff And Looks Out Of Side Of Head

Has Dog 3 ever bitten or gone after another dog? If yes, please explain.

Has Dog 3 ever been attacked by another dog or animal? If yes, please explain.

Has Dog 3 ever bitten or gone after a person? If yes, please explain.

When do you feed Dog 3?

First thing

Mid-morning

Noon

Mid-afternoon

Evening

How much do you feed Dog 3?

Has Dog 3 ever climbed/tried to climb a fence?

What are the 3 things you like the most about Dog 3?

What are the 3 things you like the least about Dog 3?

Please check all that apply to Dog 3 ...

Jumps on people/pulls on leash

Fearful of dogs

Charges front door when someone arrives

Barks at anyone/thing outside

Separation anxiety

Excessive vocalization when left alone

Chews furniture or anything else

Fearful of dogs

Urinates when excited or scared

Darts out door

Digs in yard

Play biting

Not house trained

What is most important to you as far as Dog 3’s day care/boarding experience goes?

Please tell us any SPECIFICS we can do that would make Dog 3 happy and relaxed and enjoy his/her stay at Red Rover (example: Fred LOVES his ears scratched inside and a good rub outside. Ethel loves something to chew on and tear apart!)

Additional Comments on Dog 3

Info for 4th Dog

Name of Dog 4

Your Dog's Name

Gender of Dog 4

Is Dog 4 Spayed or Neutered?

Dog 4 Breed

Dog 4 Weight

Dog 4 Birth Date

MM slash DD slash YYYY

Vaccinations

Dog 4 Distemper Expires On:

MM slash DD slash YYYY

Dog 4 Bordatella Expires On:

MM slash DD slash YYYY

Dog 4 Rabies Expires On:

MM slash DD slash YYYY

Special Needs

Dog 4 Medical Issues

Allergies

Seizures

Diabetic

Organ Problems

None

Other

Dog 4 Physical Issues

Deaf

Blind

Bad Hips

Weak Legs

Missing Leg

None

Other

Dog 4 Sensitivities

Thunder & Loud Noise

Being with Too Many Dogs

Being Alone

Heat

Overall Timid

None

Other

Please describe any other medical issues for Dog 4.

Please describe any other physical issues for Dog 4.

Please describe any other sensitivities for Dog 4.

If you are not the original owner, why did the previous owner give up Dog 4?

Is there any history of abuse of Dog 4?

If Dog 4 has been to day care or boarded before, how would you describe their experience?

Fell Right Into Routine

Barked A Lot

Did Not Eat Well

Anxious

Did Not Play Well With Others

Other

Please describe their experience for Dog 4.

If this is the first-time for day care or boarding, how do you think Dog 4 will respond?

Enjoy Other Dogs

Nervous

Barked A Lot

Not Eat Well

Cry

Be The Boss

Settle In Quick

Other

With other dogs how would you classify Dog 4?

Submissive

Follower

Leader

Dominate

Not Sure

What is the energy level Dog 4?

High

Medium

Low

Please describe how you think Dog 4 will respond.

Is Dog 4 used to a leash?

Any issues with the leash for Dog 4? (Example: Overly protective, tends to be aggressive, pulls, etc.)

How many friends does Dog 4 have?

How often does Dog 4 meet new dogs?

Dog 4 warms up to new dogs

Would you say Dog 4 is most comfortable...

What kind of dog does Dog 4 prefer to play with? Check all that apply.

Big

Small

Mid-Size

Older

Younger

Energetic

Calm

Not Sure

What kind of dog does Dog 4 prefer NOT to play with? Check all that apply.

Big

Small

Mid-Size

Older

Younger

Energetic

Calm

Not Sure

What tendencies does Dog 4 display when meeting another dog? Check all that apply.

Tucks Tail

Cowers

Rolls On Back

Barks And Then Settles In

Stands Stiff And Looks Out Of Side Of Head

Has Dog 4 ever bitten or gone after another dog? If yes, please explain.

Has Dog 4 ever been attacked by another dog or animal? If yes, please explain.

Has Dog 4 ever bitten or gone after a person? If yes, please explain.

When do you feed Dog 4?

First thing

Mid-morning

Noon

Mid-afternoon

Evening

How much do you feed Dog 4?

Has Dog 4 ever climbed/tried to climb a fence?

What are the 3 things you like the most about Dog 4?

What are the 3 things you like the least about Dog 4?

Please check all that apply to Dog 4 ...

Jumps on people/pulls on leash

Fearful of dogs

Charges front door when someone arrives

Barks at anyone/thing outside

Separation anxiety

Excessive vocalization when left alone

Chews furniture or anything else

Fearful of dogs

Urinates when excited or scared

Darts out door

Digs in yard

Play biting

Not house trained

What is most important to you as far as Dog 4’s day care/boarding experience goes?

Please tell us any SPECIFICS we can do that would make Dog 4 happy and relaxed and enjoy his/her stay at Red Rover (example: Fred LOVES his ears scratched inside and a good rub outside. Ethel loves something to chew on and tear apart!)

Additional Comments on Dog 4

Info for 5th Dog

Name of Dog 5

Your Dog's Name

Gender of Dog 5

Is Dog 5 Spayed or Neutered?

Dog 5 Breed

Dog 5 Weight

Dog 5 Birth Date

MM slash DD slash YYYY

Vaccinations

Dog 5 Distemper Expires On:

MM slash DD slash YYYY

Dog 5 Bordatella Expires On:

MM slash DD slash YYYY

Dog 5 Rabies Expires On:

MM slash DD slash YYYY

Special Needs

Dog 5 Medical Issues

Allergies

Seizures

Diabetic

Organ Problems

None

Other

Dog 5 Physical Issues

Deaf

Blind

Bad Hips

Weak Legs

Missing Leg

None

Other

Dog 5 Sensitivities

Thunder & Loud Noise

Being with Too Many Dogs

Being Alone

Heat

Overall Timid

None

Other

Please describe any other medical issues for Dog 5.

Please describe any other physical issues for Dog 5.

Please describe any other sensitivities for Dog 5.

If you are not the original owner, why did the previous owner give up Dog 5?

Is there any history of abuse of Dog 5?

If Dog 5 has been to day care or boarded before, how would you describe their experience?

Fell Right Into Routine

Barked A Lot

Did Not Eat Well

Anxious

Did Not Play Well With Others

Other

Please describe their experience for Dog 5.

If this is the first-time for day care or boarding, how do you think Dog 5 will respond?

Enjoy Other Dogs

Nervous

Barked A Lot

Not Eat Well

Cry

Be The Boss

Settle In Quick

Other

With other dogs how would you classify Dog 5?

Submissive

Follower

Leader

Dominate

Not Sure

What is the energy level Dog 5?

High

Medium

Low

Please describe how you think Dog 5 will respond.

Is Dog 5 used to a leash?

Any issues with the leash for Dog 5? (Example: Overly protective, tends to be aggressive, pulls, etc.)

How many friends does Dog 5 have?

How often does Dog 5 meet new dogs?

Dog 5 warms up to new dogs

Would you say Dog 5 is most comfortable...

What kind of dog does Dog 5 prefer to play with? Check all that apply.

Big

Small

Mid-Size

Older

Younger

Energetic

Calm

Not Sure

What kind of dog does Dog 5 prefer NOT to play with? Check all that apply.

Big

Small

Mid-Size

Older

Younger

Energetic

Calm

Not Sure

What tendencies does Dog 5 display when meeting another dog? Check all that apply.

Tucks Tail

Cowers

Rolls On Back

Barks And Then Settles In

Stands Stiff And Looks Out Of Side Of Head

Has Dog 5 ever bitten or gone after another dog? If yes, please explain.

Has Dog 5 ever been attacked by another dog or animal? If yes, please explain.

Has Dog 5 ever bitten or gone after a person? If yes, please explain.

When do you feed Dog 5?

First thing

Mid-morning

Noon

Mid-afternoon

Evening

How much do you feed Dog 5?

Has Dog 5 ever climbed/tried to climb a fence?

What are the 3 things you like the most about Dog 5?

What are the 3 things you like the least about Dog 5?

Please check all that apply to Dog 5 ...

Jumps on people/pulls on leash

Fearful of dogs

Charges front door when someone arrives

Barks at anyone/thing outside

Separation anxiety

Excessive vocalization when left alone

Chews furniture or anything else

Fearful of dogs

Urinates when excited or scared

Darts out door

Digs in yard

Play biting

Not house trained

What is most important to you as far as Dog 5’s day care/boarding experience goes?

Please tell us any SPECIFICS we can do that would make Dog 5 happy and relaxed and enjoy his/her stay at Red Rover (example: Fred LOVES his ears scratched inside and a good rub outside. Ethel loves something to chew on and tear apart!)

Additional Comments on Dog 5

Info for 6th Dog

Name of Dog 6

Your Dog's Name

Gender of Dog 6

Is Dog 6 Spayed or Neutered?

Dog 6 Breed

Dog 6 Weight

Dog 6 Birth Date

MM slash DD slash YYYY

Vaccinations

Dog 6 Distemper Expires On:

MM slash DD slash YYYY

Dog 6 Bordatella Expires On:

MM slash DD slash YYYY

Dog 6 Rabies Expires On:

MM slash DD slash YYYY

Special Needs

Dog 6 Medical Issues

Allergies

Seizures

Diabetic

Organ Problems

None

Other

Dog 6 Physical Issues

Deaf

Blind

Bad Hips

Weak Legs

Missing Leg

None

Other

Dog 6 Sensitivities

Thunder & Loud Noise

Being with Too Many Dogs

Being Alone

Heat

Overall Timid

None

Other

Please describe any other medical issues for Dog 6.

Please describe any other physical issues for Dog 6.

Please describe any other sensitivities for Dog 6.

If you are not the original owner, why did the previous owner give up Dog 6?

Is there any history of abuse of Dog 6?

If Dog 6 has been to day care or boarded before, how would you describe their experience?

Fell Right Into Routine

Barked A Lot

Did Not Eat Well

Anxious

Did Not Play Well With Others

Other

Please describe their experience for Dog 6.

If this is the first-time for day care or boarding, how do you think Dog 6 will respond?

Enjoy Other Dogs

Nervous

Barked A Lot

Not Eat Well

Cry

Be The Boss

Settle In Quick

Other

With other dogs how would you classify Dog 6?

Submissive

Follower

Leader

Dominate

Not Sure

What is the energy level Dog 6?

High

Medium

Low

Please describe how you think Dog 6 will respond.

Is Dog 6 used to a leash?

Any issues with the leash for Dog 6? (Example: Overly protective, tends to be aggressive, pulls, etc.)

How many friends does Dog 6 have?

How often does Dog 6 meet new dogs?

Dog 6 warms up to new dogs

Would you say Dog 6 is most comfortable...

What kind of dog does Dog 6 prefer to play with? Check all that apply.

Big

Small

Mid-Size

Older

Younger

Energetic

Calm

Not Sure

What kind of dog does Dog 6 prefer NOT to play with? Check all that apply.

Big

Small

Mid-Size

Older

Younger

Energetic

Calm

Not Sure

What tendencies does Dog 6 display when meeting another dog? Check all that apply.

Tucks Tail

Cowers

Rolls On Back

Barks And Then Settles In

Stands Stiff And Looks Out Of Side Of Head

Has Dog 6 ever bitten or gone after another dog? If yes, please explain.

Has Dog 6 ever been attacked by another dog or animal? If yes, please explain.

Has Dog 6 ever bitten or gone after a person? If yes, please explain.

When do you feed Dog 6?

First thing

Mid-morning

Noon

Mid-afternoon

Evening

How much do you feed Dog 6?

Has Dog 6 ever climbed/tried to climb a fence?

What are the 3 things you like the most about Dog 6?

What are the 3 things you like the least about Dog 6?

Please check all that apply to Dog 6 ...

Jumps on people/pulls on leash

Fearful of dogs

Charges front door when someone arrives

Barks at anyone/thing outside

Separation anxiety

Excessive vocalization when left alone

Chews furniture or anything else

Fearful of dogs

Urinates when excited or scared

Darts out door

Digs in yard

Play biting

Not house trained

What is most important to you as far as Dog 6’s day care/boarding experience goes?

Please tell us any SPECIFICS we can do that would make Dog 6 happy and relaxed and enjoy his/her stay at Red Rover (example: Fred LOVES his ears scratched inside and a good rub outside. Ethel loves something to chew on and tear apart!)

Additional Comments on Dog 6

Thank you for providing us with important information on your dog(s). All information provided will be kept on file. Please see a Red Rover representative if anything needs to be changed in the future.

We appreciate you selecting Red Rover for PlayCare and/or Boarding. We are available if you need bathing or grooming services as well. If you have any questions about these services, or anything else for that matter, just give us a call at 843.671.9274.

Hidden

Please check to confirm all information has been reviewed.

All information has been reviewed

Name

This field is for validation purposes and should be left unchanged.

Voted Gold in Pet Daycare & Pet Boarding

Need Our Help?

We are available to answer any questions you have!

Voted Bronze in Pet Grooming

We Are Ready When You Are!

Red Rover^® is on the south end of the island. Easy access from Hwy. 278, Cross Island Parkway and Pope Avenue!

Boarding Drop-off & Pick-up:
6 a.m. – 6 p.m. Monday-Sunday
PlayCare Drop-off & Pick-up:
8 a.m. – 6 p.m. Monday-Saturday
Grooming & SPAW Services:
By Appointment
DIY Dog Wash:
8 a.m. – 4 p.m. Monday-Saturday
Phone:
843-671-9274 (WASH)
Email:
paige@theredrover.info