Dog Boarding Intake Form
Please complete this intake form to help us provide the best care for your dog during their stay. Share important details about your dog’s health, routine, and preferences.
Owner Information
Owner Full Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Phone
Dog’s Name
Breed
Age
Weight
Stay Details
Drop-off Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Pick-up Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Special Requests for Stay
Health & Veterinary Information
Vaccinations up to date
Yes
No
Any medical conditions
Yes
No
If yes, please describe
Current medications (dosage & schedule)
Veterinarian Name
Vet Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Feeding Instructions
Feeding Schedule
Please Select
Once daily
Twice daily
Three times daily
Type/Brand of Food
Portion Size
Dietary restrictions or allergies
Behavior & Temperament
Temperament
Friendly
Shy
Energetic
Anxious
Aggressive
Gets along with other dogs
Yes
No
Gets along with children
Yes
No
Any behavioral concerns
Daily Routine
Walk Schedule
Exercise Needs
Please Select
Low
Moderate
High
Sleeping Habits
Bathroom Routine
Items Provided
Items brought with dog
Food
Treats
Toys
Bed/Blanket
Leash/Collar
Medication
Crate
Other
Emergency Authorization
Authorization for emergency veterinary care
Yes
No
Preferred emergency contact method
Please Select
Call
Text
Email
Consent
Agreement & Consent
Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: