Intake Form

Pawrent (Parent) Information

Name
Address
City
Phone / Text
Email
Emergency Contact Name
Emergency Contact Phone

Dog Information (Basic)

Name
Breed
Sex MaleFemale
Spayed / Neutered YesNo
Birthday (if known)
Age
Microchipped YesNo
Current on Shots YesNo
Vet Name
Vet Address
Vet Phone
I give permission for Annie Time Dog Walking to use my pet(s) picture on social media YesNo

Dog Information (Specific)

Has your dog had any training? NoBasicAdvanced
Is your dog trained to: Sit StayRecallSpeakLeave ItWalk
What does your dog walk with? Basic CollarMartingale CollarChokerProng CollarHarnessGentle Lead
What is your dog's current walk routine?
How is your dog on a leash? PerfectPullsZig Zags
How is your dog in a car? FineNervous
Does your dog have any medical concerns? YesNo
Explain
Medications
Does your dog have any problems with other dogs? YesNoUnknown
Other
What is your dog's FIRST reaction with other dogs? ShyAggressiveHappy
Other
Does your dog react to pedestrians? YesNo
Does your dog react to cyclists? YesNo
Has your dog ever attempted to bite another dog or person? YesNo
Explain

Daycare / Boarding Only

Is your dog house trained? YesNo
If no, explain
How does your dog 'ask' to go out?
Does your dog have separation anxiety? YesNo
Does your dog have fears / anxiety towards fireworks, thunder, loud cars, or other?
Does your dog beg for human food? YesNo
Explain:
What type of food does your dog eat? RawCookedKibble
Specifics:
Allergies:
Where does your dog 'normally' sleep at home?:
Please list current training you are working on:
Any other information we might need:

Please prove you are human by selecting the car.