HAPPY PETS HAVE HAPPY TAILS!  

Happy Tails Day Care & Pet Resort

Information sheet

General Information:

Name: ____________________________________  Pet’s Name _________________________

Address: _________________________  City: ________________ Sate: __ Zip Code: _________

Home Phone: ____________________________  Cell Phone: ____________________________

E-Mail Address : _____________________________ (Happy Tails will send periodic e-mails to clients.  If you prefer not to receive these please check here) _______

Breed: _______________ Date of Birth: ______ Sex: _______  Spayed/ Neutered: _________

Veterinarian: _______________________________ Phone Number : ____________________

Emergency contact: ____________________________________ Phone #: ________________

Referred by whom: (referrals = one free day for the dog who referred you.)

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Allergies: ____________________________________________________________________

Has your dog ever been in Day Care before: _________  If so, where: ____________________

Medical History:

Vaccination dates:  Rabies: _______ DA2PP ________  Bordatella: ________ (Please provide proof)

Do you have an annual heartworm test?: _______

If yes, what brand of preventative do you use: _____________________________________

Flea/Tick Medication? ______ If yes, what brand of preventative? _______________________

Describe any medical issues that we need to be aware of: (hip, heart, seizures, etc.)

Does your dog take daily medication? ______ If yes, what type? _________________________

Has your dog been diagnosed with a contagious disease in the past 30 days? ____ If yes, what?

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Microchip #: ___________________________________ Brand __________________________

Tell us about your dog:

How long have you had your dog? _________ Where did he/she come from? _______________

If adopted from a shelter, what do you know about his/her history? ______________________________________________________________________________

Please describe your family: (please include number and ages of children) _____________________________

Please tell us about any other pets in your household: __________________________________

Has your dog ever reacted aggressively toward a cat? __________

Has your dog had obedience training: _____ If yes, what level: ___________________________

Is your dog comfortable in a crate? ________

Has your dog ever jumped over a fence? _____ If yes, how high was it? ____________________

Has your dog ever growled or snapped if you touch his/her food or toys? __________________

Has your dog ever protected his/her food/toys from another dog? _________

Would you say that your dog plays nicely with other dogs? _______

Has your dog ever disliked another dog? ___________

How does your dog react to puppies/small dogs? ______________________________________

How does your dog react to strangers? ______________________________________________

Has your dog automatically disliked anyone? _______ If yes, who? _______________________

Does your dog have any behavior problems that we should be aware of? __________________

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Thank you for sharing this information with us.  It will make your dog's stay with us much more enjoyable.