Pet/Client Profile

You can complete this profile by filing 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.

Your Full Name
Your Primary Phone #
Your Secondary Phone #
Your Email
Address
City
State
Zip
Emergency Name
& Phone #
Vet Name & Phone #
Dog's Name(s)
Dog's Breed
Dog's Date of Birth
Dog's Weight
How long have you owned your dog?




Vaccinations
Rabies Expires On:
Bordatella Expires On:
DHPP Expires On:




Special Needs
Medication & Frequency


Physical Issues Deaf
Blind
Bad Hips
Weak Legs
Missing Leg
None

Other:

Medical Issues Allergies
Seizures
Diabetic
Organ Problems
None

Other:

Flea Prevention K9 Advantix
Frontline
Advantage
Nexgard
Trifexis
Revolution
Capstar
Comfortis
Flea Tick Collar
None


Sensitivities Thunder & Loud Noise
Being with Too Many Dogs
Being Alone
Heat
Overall Timid
None

Other:

Where did you get your dog? Breeder
Shelter
Family
Friend
Found


If you are not the original owner, why did the previous owner give up the dog?
Is there any history of abuse?

Does your dog have an ID tag? Name Tag
Rabies Tag
Tattoo
Chip
None

If your dog has been boarded before, how would you describe their expereince? Fell Right Into Routine
Barked A Lot
Did Not Eat Well
Anxious
Did Not Play Well With Others

Other:

What led you to look for a new place to board?
Who referred you to Red Rover?
If this is the first time boarding, how do you think your dog will respond? Enjoy Other Dogs
Nervous
Bark A Lot
Not Eat Well
Cry
Be The Boss
Settle In Quick

Other:

With other dogs how would you classify your dog? Submissive
Follower
Leader
Dominate
Not Sure


What is your dog's energy level? High
Medium
Low


What is your discipline word/sound?
How do you discipline your dog?
Any issues with the leash? (Example: Overly protective, tends to be aggressive, pulls, etc.)
How often and what kind of exercise does your dog get?
What kind of dog does your dog prefer to play with?

Check all that apply.
Big
Small
Mid-Size
Older
Younger
Energetic
Calm
Not Sure


What kind of dog does your dog prefer NOT to play with?

Check all that apply.
Big
Small
Mid-Size
Older
Younger
Energetic
Calm
Not Sure


What tendencies does your dog 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 your dog ever growled, bitten or gone after another dog? If yes, please explain.
Has your dog ever been attacked by another dog or animal? If yes, please explain.
Has your dog ever growled, bitten or gone after a person? If yes, please explain.


What brand does your dog eat?
When do you feed your dog? First thing
Mid morning
Noon
Mid-afternoon
Evening


What are the 3 things you like the most about your dog?
What are the 3 things you like the least about your dog?
Please check all that apply to your dog... 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 your dog’s boarding experience goes?
Please tell us any SPECIFICS we can do that would make your dog 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