New Pet Information Form
Wichita Falls
Contact Information
Your Name
*
First
Last
Phone
*
Email
*
Pet Name
*
Breed
*
Colors
*
Weight
*
Age
*
Gender
Male
Female
Spayed/Neutered?
Yes
No
Feeding
Brand of food provided
*
Type
*
Kibble
Canned / Wet
other
Amount
*
Additional Feeding Instructions
If your pet is not eating well, may items such as wet food, cheese, or meat be given in moderation to promote appetite?
*
Yes
No
Check All That Apply
*
Breakfast
Lunch
Dinner
Medical Information
Describe any allergies, previous surgeries, medical conditions, or physical limitations your pet may have.
Medicine Provided
Type of Medicine
Tablet, Chew, Pill, Capsule
Injection
Topical Treatment
Bandaging
Amount to Administer
When is the medicine administered?
AM
Noon
PM
Bedtime
Additional meds and dosages or other instructions
If needed for their comfort, can natural calming aids such as lavender, a thundershirt, or natural calming treats be given to your pet?
*
Yes
No
Pet Evaluation
Has your pet ever been boarded?
*
Yes
No
Unknown
Does your pet attend daycare?
*
Often
Sometimes
Rarely
Never
Has your pet had obedience training?
*
Yes
No
What off leash play has your pet experienced with other pets?
Would you say your pet is comfortable playing with other pets?
*
Almost always
Sometimes
Rarely
Never
Unknown
What is your pet's typical play style?
*
Alpha
Body Slam
Calm
Cat-like
Chase
Mouthy
Non-stop
Rough
Wrestle
Vocal
What benefits of group play do you hope to achieve?
Relieve boredom
Reduce anxiety
Release energy
Gain social skills
Keep from being alone
Keep out of trouble
Make new friends
Have fun
Exercise
Weight management
Unknown
Is your pet fearful of anything?
Does your pet have any issues sharing toys, food, or other resources?
*
Yes
No
Unknown
If yes, describe issue or items your pet guards
Has your pet ever bitten?
*
Yes
No
Unknown
Please explain any bite history including whether or not medical attention was required.
Has your pet had any issues with any of the following?
Aggression towards people
Aggression towards other pets
Biting, hissing, or growling
Chasing other animals, vehicles, or people
Chewing or swallowing toys, beddings, etc.
Darting out open doors
Digging under fences
Nervousness / Fear
Jumping Fences
Pulling on or out of collar/leash
Resource Guarding
Separation anxiety
other
Explain any issues
Additional Information you would like us to have about your pet
Submit
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