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Name
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Email
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What dates are you interested in boarding your puppy?
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Phone
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-- Country Code --
+1 - Canada
+1 - USA
+61 - Australia
+44 - United Kingdom
Alternate Contact (spouse, partner, etc.) Name
Alternate Contact Phone #
Address
*
-- Country --
Australia
Canada
United Kingdom
USA
Please provide the name, best phone number, and relationship of your emergency contact.
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Veterinarian
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Veterinary Clinic/Practice Name
Veterinary Clinic/Practice Phone #
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Pet Name
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Birthday
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Sex
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-- Select One --
Male
Female
Is your pet spayed or neutered? (Select yes for vasectomies/bilaterial oophorectomy)
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-- Select One --
No
Yes
How much does your dog weigh (lbs)?
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Breed
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When did you obtain your dog?
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Where did you obtain your dog?
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-- Select One --
Breeder
Rescue
Shelter
Pet Store
Neighbor/Friend/Family Member
Other
If you responded to the previous question with breeder, rescue group, or shelter, please share the name of your breeder or organization. Otherwise, please enter N/A.
*
Is your dog current on all necessary vaccinations? This includes Distemper and Parvo (usually included in a combo vaccine such as DLPP or DHLPP), as well as Rabies if your dog is 16+ weeks. We also strongly recommend vaccinating for Bordatella, Canine Influenza, Lyme, & Leptospirosis if requesting boarding. Note: Proof of vaccination must be provided at least 24 hours prior to services. If your dog receives additional vaccinations at any point, please log in to your portal to upload them to keep records current.
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-- Select One --
No
Yes
Vaccine Info: Rabies - Please enter the EXPIRATION date of your dog's most recent rabies vaccination and upload documentation. IMPORTANT: If your dog is less than 16 weeks and has not yet been vaccinated for rabies, please enter the date that your dog turns 16 weeks of age in the expiration date field below.
Expiry Date
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Please upload a Photo or PDF document.
Please enter the EXPIRATION date (not the date it was administered) of your dog's most recent distemper/parvovirus vaccine and upload proof of vaccination
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Expiry Date
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Please upload a Photo or PDF document.
Has your dog tested positive and/or been treated for parasites (hookworm, roundworm, giardia, etc.)?
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No
Yes
Have never tested
Unsure
We require a negative fecal test within 2 weeks of beginning puppy services with us. If you have already had this done, please complete the Fecal Results field below. Otherwise, please email your results to us at
[email protected]
once you receive them. Note that it can take 1-2 days for your vet to receive/share results. Results must be provided at least 24 hours in advance. If your dog has tested positive, he or she must receive a minimum of 5 days of treatment, with two negative fecals, one after treatment and one two weeks later, before attending.
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-- Select One --
Negative results are attached below
I will email results once the test is completed
My dog is undergoing treatment/waiting for follow-up testing
Fecal Results: Please provide the date of your dog's most recent fecal test.
Please attach the results of your most recent fecal test below.
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Is your dog on a flea/tick preventative? If so, which one?
Which of the following do you use to confine your pet? Select all that apply.
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Wire crate (uncovered)
Wire crate (covered or partially covered)
Airline style (hard) crate
Soft-sided (collapsible) crate
X-pen
Baby gate
Tether/Tie out
Excluding overnight, what is the maximum amount of time your dog is in the above at any given time point?
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In what situations is your pet confined to any of the above? Select all that apply.
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When you are away from home
When you are home, but in another room
When you are home, in the same room
Only when your dog is tired
Only when he has something to keep him occupied
Overnight, in our or a family member's bedroom
Overnight, in a room without a family member
When there is a lot of activity going on
Excluding overnight, how long is your dog able to hold it without having an accident (in hours)?
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How long is your dog able to hold it overnight?
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In what situation(s) has your dog interacted with other dogs? Select all that apply.
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None
Resident Dog(s)
Puppy Class/Playgroup
Daycare
Boarding
Dog Park
Neighbor/Friend/Family Member's Dog
Neighborhood Playgroup
Other
How would you describe your dog's interactions with other dogs? Select all that apply. If your dog has not interacted with other dogs, choose 'Not Applicable'.
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Very scared (cowers, hides, tail tucked, doesn't want to interact)
Slow to warm up (can be nervous or wary initially, but eventually plays)
Selective (plays with some dogs, but avoids or is afraid of others)
Confident, but respectful (loves to play, but will back off if other dogs appear scared or overwhelmed)
Exuberant (loves to play, can get over aroused or over excited at times)
Wild child (gets easily over aroused or excited, doesn't take cues from other dogs well)
"Lazy player" (loves to lay down and mouth wrestle)
"Card carrying WWE member" (loves to wrestle, pin, or body slam)
"Sprinter" (loves to chase and/or be chased)
"Fun Patrol" (asks the other dogs to turn it down if the party gets too rowdy by inserting themselves and/or barking)
"Paws off" (what's mine is mine and it's rude for you to take it)
Not Applicable/Unsure
Has your dog ever been aggressive to another dog?
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No
Yes
If yes to the above, please describe. Otherwise, enter N/A.
Has your dog ever snapped at or bitten someone (does not include normal puppy mouthing/nipping)? If your dog is adopted, please include any incidents from previous homes.
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No
Yes
How did you hear about us?
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-- Select One --
Website
Facebook
Instagram
Friend/Acquaintance
Web Search/Google
Veterinarian
Your Dog's Friend
Peaceable Paws (Pat Miller)
Certification Council for Professional Dog Trainers (CCPDT)
Fear Free Pets/Happy Homes
Referred by Another Trainer
The Laurel Independent newspaper
West Laurel Newsletter or Listserv
Other
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Please enter all required fields above.
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