Dogs on the Run 🐶 Dog Intake Form

Dog Intake Form

To be filled out upon acceptance to Dogs on the Run

Full name *

Email *

Phone *

At least one is required

Address *

Emergency contact / relationship *

Names and numbers

Name of veterinarian *

Clinic name and phone number *

Dog Info

Dog name *

Dog DOB/Age *

Date of birth

Dog Breed/Type *

Spay/Neuter * Yes No

Socialization *

Choose 1-10

Separation anxiety *

Choose 1-10

Toilet trained *

Choose 1-10

Food aggression *

Choose 1-10

Dog to dog aggression *

Choose 1-10

Dog to people aggression *

Choose 1-10

Toy aggression *

Choose 1-10

Guarding issues *

Choose 1-10

Has your dog ever been separated from you before? * Yes No

How does your dog handle separation from you? *

Has your dog been to daycare before? *

Yes No

What daycare, for how long? *

Medical History

Does your dog have any chronic illnesses? *

Medication for illness *

Does your dog have any allergies? *

Are all shots are up-to-date? *

Is your dog protected from heart worm disease? *

Does your dog have flea protection? *

Personal

Preferred Food *

Brand, Type etc

Feeding schedule *

Quantity and frequency

Daily routine *

Walks, bathroom breaks etc...

Where does your dog normally sleep? *

Do you use a crate? *

If so - how and when?

Does your dog have any anxieties? *

e.g. thunder, fireworks, rain...

If your dog suffers from anxieties, how do you comfort him/her? *

Any other information you feel is important for me to know about your dog:

By completing this, I acknowledge that I have read, understand, and agree to the policies and procedures of the above Dog Intake form and Sign it Electronically *

Dog Intake Form

Dog Info

Medical History

Personal

Submit