Pet Hosting - Client Form
Jordi G
Pet Details
Pet Name
*
DOB
*
-
Month
-
Day
Year
Date
Breed
*
Sex
*
Male
Female
Microchipped
*
Yes
No
Registered with LGA / Council
*
Yes
No
Desexed
*
Yes
No
If no will your dog be on heat
*
Yes
No
Is your pet toilet trained
*
Yes
No
In training
Does your pet mark their territory indoors
*
No (never inside at your home and another persons home)
Unsure (pet has never been inside another persons home)
Yes they have marked before
Vaccination evidence
*
Browse Files
Drag and drop files here
Choose a file
Or feel free to privately message me. Pets must be vaccinated for Parvovirus & Kennel Cough
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Owner Details
Name
*
First Name
Last Name
Phone Number
*
Email
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Information
In case of an emergency
Emergency Contact
*
First Name
Last Name
Phone Number
*
Preffered Echuca Vet Clinic
*
In case of an emergency
Feeding & Care
The more info the better!!!
Feeding Frequency
*
AM
PM
Three times daily
Feeding details
*
Eg. 1x Cup dry food AM, 1/2 tin wet food PM
Will you be providing your own food? If your pet has a sensitive stomach we recommend keeping them on the same food during their stay
*
Yes
No
Sensitive stomach
Fine on different food
Please provide food preference for pet
*
Can your pet have treats
*
Yes
No
Occasionally
Does your pet require medication
*
Yes
No
Medication
Directions
Eg, tablet orally, PM
Does your pet have any current or long term illness/injuries that need to be monitored?
*
Yes
No
If yes, please provide as much detail as possible
Does your pet have any allergies
*
Yes
No
If yes, please explain
Sleep over arrangements
Where does your pet sleep at night?
*
Eg. In a crate, on bed next to mine
Is your pet crate trained?
*
Yes
No
Sort of / Working on it
How long can your pet be left alone?
*
Eg. Max 5 hours
Where does your pet stay while you are HOME?
*
Eg. Inside
Where does your pet stay while you are OUT?
*
Eg. Outside
Does your pet require walks daily?
*
Yes
No
Doesn’t matter
How often?
*
Eg. Once daily
How far?
*
Eg. Max 2km, 20 min
Are you happy for your pet to be left off in a secure dog park?
*
Yes
No
Does your pet pull on leash?
*
Yes
No
Sometimes
Pet in training
Are you happy for your pet to swim in the river (on a 6m lead)?
*
Yes
No
Hates water
Can’t swim
Tell me about your Pet
Check all that apply
Has your pet done any of the following?
*
Attacked and/or bitten someone or animal
Escaped from home
Injured themselves due to boredom / fear
None of the above
Tell me what temper / personality best describes your pet? Check all that apply
*
Calm & loving
Anxious
Hyperactive
Anxious
Aggressive towards other animals
Other
Does your pet do any or have any habits of the following? Check all that apply.
*
Excessive barking
Digging
Chewing
Whining / Whimpering
Escaping / Jumping fences
Other
Does your pet have any of the following triggers?
*
Food aggression
Leash aggression
Resource guarding (eg toys)
Other
How is your pet with kids (all ages)
*
What commands does your pet know?
*
Eg. Sit, stay, wait
How is your dog with other dogs? For the safety of your dog, my dogs, other dogs & other people complete honesty is needed. This ensures the best care and stay for all parties. If your dog needs to stay separated from others then we need to know beforehand.
*
What is your dog like in the car?
*
Car sick
Anxious
Loves it
Other
How do you restrain your dog in the car
*
Crate
Seatbelt attachment
I don’t
Other
Can your dog travel on the back of a ute (safely with a chain)?
*
Yes
No
Never has
Does your pet have an Instagram account? Please share the username below if you would like.
Any other notes, comments, instructions
Eg. Favourite toy, will bring bedding, blanket, crate
By submitting this form, you acknowledge that all / any information provide is true and correct. You also give permission to myself to post photos of your pet/s during their stay with me on social media platforms. Please do not hesitate to contact me if you do not wish your pet photos to be put on social media.
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