Dog Log Pet Information Help us learn more about your pet! Pet Name * Pet Date of Birth * MM DD YYYY Color/Breed * Gender * Male Female Spayed or Neutered? * Yes No Microchip Number Veterinary Clinic * Veterinary Clinic Phone Number * (###) ### #### Owner Information Owner Name * First Name Last Name Primary Phone Number * (###) ### #### Secondary Owner Name First Name Last Name Secondary Phone Number (###) ### #### Emergency Contact * First Name Last Name Emergency Phone Number * (###) ### #### Contact Information Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Medical Information Has your pet been ill, had surgery, or had any injuries in the last 30 days? If yes, please explain. Does your pet have any chronic medical conditions? If yes, pease explain. Does your pet have any non-food allergies? If yes, please explain. Diet Information Type and brand of food. How much and how often? If owners' food runs out, may we use kennel food? If yes, Chicken & Rice, Performance, or Salmon & Rice? Does your dog have any food allergies? Can we give your dog treats? Yes No Eating habits? Check all that apply. They will go periods of time without eating They like to nibble all day They eat all food immediately at meal time They need canned food added to entice eating History and Behavior Has your dog ever attended a kennel or daycare? If yes, how was the experience? Does your pet experience anxiety when boarded? If yes, please explain. Has your dog ever bitten any dog or person in any circumstance? If yes, please explain scenario and type of bite. Does your dog guard toys, food, or spaces? If yes, please explain. Does your dog come when called? Does your dog get along well with others? Is your dog e-collar trained? * Signature Name * By typing my name here, I confirm the provided information is correct. Thank you for taking the time to fill out our dog log. Your responses have been sent!
