Enrich The Canine

Enrich The Canine: Nurturing Minds, Bodies, and Bonds.

This questionnaire allows me to gain valuable insight into you and your pet, helping me determine if my services will be a good match for you and your pet, and better prepares for a successful and tailored experience.

A complete pet profile and meet and greet are required before any services can begin to ensure I am the right fit for your pet’s needs. Please note that dogs are required to have current DHPP, Rabies, and Bordetella vaccinations in order to partake in our services.

Once I’ve reviewed your info, I’ll follow up by email to confirm next steps or schedule a time to connect.

If you have any questions, concerns, special requests, or need assistance, don’t hesitate to contact me through e-mail.

Thank you!
Jordan Roberts FDM
Enrich the Canine - [email protected]

Name*

Email*

Phone

Address

Pet Name

Species

Sex

Breed

Birthday

What services are you interested in? Feel free to include anything you're looking for help with- whether it's regular walks, enrichment, drop-ins, training support, or something else.

How often are you looking for support? (e.g., a few times a week, occasional, daily, etc.)

Preferred Dates & Times for Phone Consult or Meet & Greet. Please share a few dates and times that would work well for you. I’ll follow up by email to confirm and finalize a time that works for both of us.

Anything else you'd like me to know?

OWNER ACKNOWLEDGES AND AGREES TO THE ABOVE:

I confirm that I am the owner or guardian of the dog described in this Intake Form free and clear of any liens or encumbrances. I also verify that all of the above information is true and accurate, I also agree and confirm that it is my responsibility to provide [Jordan Roberts / Enrich The Canine] with any future relevant information and/or vaccination certificate(s). I declare that I have filled out this information truthfully and have not left out any details that could put my dog or [Jordan Roberts / Enrich The Canine] in any harm or distress.

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