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"Caring About Your Pet"

Kennel Application

 

Date

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Owner Information

 
Name

First

Last
 
Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
 
Home Phone

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###
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####
 
Cell Phone

###
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####
 
Work Phone

###
-
###
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####
 
Email
 

Emergency Contact

 
Name

First

Last
 
Phone Number

###
-
###
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####
 

Pet Information

 
Name
 
Breed
 
Gender
 Male 
 Female 
 
 
Age
 
Pet's Birthday

MM
/
DD
/
YYYY
...
 
Is your pet spayed or neutered?
 Yes 
 No 
 
 

Veterinarian

 
Clinic Name
 
Name

First

Last
 
Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
 
Office Phone

###
-
###
-
####
 
Office Fax

###
-
###
-
####
 
Website
 

Pet Profile/General Information

 
If adopted, do you have knowledge of your pet's history? If yes, describe.
 
What brand of dog/cat food do you feed your pet?
 
List other animals in your household:
 
Describe how your pet gets along with other animals in your household.
 

Health & Grooming

 
Do restrictions need to be placed on your pet's activities or movements because of joint or other pain? Describe.
 
Does your pet have a flea problem?
 Yes 
 No 
 
 
Does your pet have allergies?
 Yes 
 No 
 
 
To what?
 
Does your pet like to be brushed?
 Yes 
 No 
 
 
How does your pet react to having his/her nails clipped?
 
Does your pet have any sensitive areas on his/her body? Describe.
 
Where are your pet's favorite petting and scratching spots?
 

Dog Behavior

 
Do visitors bring their dog(s) to your household?
 Yes 
 No 
 
 
If yes, how does your dog react?
 
How does your dog react to being put in a crate?
 
How does your dog behave around children?
 
How does your dog react to a stranger coming into your home or yard?
 
Does your dog ever bark, growl, or chase anyone passing outside your home or yard?
 
Are there any kinds of people or animals your dog automatically fears or dislikes?
 
How does your dog react to puppies?
 
Has your dog ever jumped on anyone?
 Yes 
 No 
 
 
Has your dog ever growled at anyone?
 Yes 
 No 
 
 
Has your dog ever bitten anyone?
 Yes 
 No 
 
 
What were the circumstances?
 
Has your dog ever climbed/jumped over a fence?
 Yes  
 No 
 
 
How high was it?
 
Does your dog have any problems in the following areas?
 Housetraining 
 Barking 
 Digging 
 
 
Describe
 
Is your dog frightened by noises? Describe.
 
Has your dog ever growled or nipped at anyone taking food/toys away?
 Yes 
 No 
 
 
Has your dog ever shared his/her food or toys with other animals?
 Yes 
 No 
 
 
Does your dog play with other dogs?
 Yes 
 No 
 
 
Does your dog know any tricks?
 
Has your dog had any formal obedience training?
 Yes 
 No 
 
 
When?
 
What commands does your dog know?
 
Is it effective in keeping him/her under control?
 Yes 
 No 
 
 
What if any bathroom commands does your dog know?
 
What if any play commands does your dog know?
 
What if any quiet commands does your dog know?
 

Cat Behavior

 
Is your cat fearful of dogs?
 Yes 
 No 
 
 
Is your cat de-clawed?
 Front 
 Back 
 Both 
 
 
Is your cat litter box trained?
 Yes 
 No 
 
 
Does your cat play with any toys?
 Yes 
 No 
 
 
Describe
 
Please list any other comments or information about your dog or cat that might be helpful.
 

Don't forget to bring enough food for the duration of your dog or cat's stay, any favorite toys, bedding, and medications.

 

Thank you for choosing Wright Pet Kennels to care for your pet.

 
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This site was last updated 04/05/11