DOG BOARDING CLIENT INTAKE FORM (TEMPLATE) Use one form for each dog. Review it with the owner before accepting the first stay. This template collects care information. It is not a contract, liability waiver, emergency veterinary authorization, or veterinary advice. OWNER Full name: __________________________________________________ Mobile phone: __________________ Email: _____________________ Address: ____________________________________________________ Preferred contact method: ___________________________________ BACKUP CONTACT Name: _______________________________________________________ Relationship to owner: ______________________________________ Mobile phone: __________________ Email: _____________________ May this person make care or veterinary decisions? [ ] Yes [ ] No DOG Name: __________________________ Pronouns: __________________ Breed or mix: __________________ Color/markings: ____________ Date of birth or age: __________ Weight: ____________________ Microchip number, if known: __________________________________ Spayed/neutered? [ ] Yes [ ] No Current ID tag? [ ] Yes [ ] No REGULAR VETERINARIAN Clinic: ______________________________________________________ Veterinarian: ________________________________________________ Phone: ________________________ After-hours phone: __________ HEALTH Known medical conditions: ____________________________________ Allergies or sensitivities: __________________________________ Recent illness, injury, coughing, vomiting, diarrhea, or parasites: ______________________________________________________________ Vaccinations or tests required by the boarder, with dates: ______________________________________________________________ MEDICATION Medication: ___________________ Dose: ________________________ Time/frequency: _______________ How it is given: _____________ What if a dose is late, refused, or vomited? __________________ Storage instructions: ________________________________________ FOOD AND ROUTINE Food brand/type: ______________________________________________ Amount per meal: ______________ Meal times: __________________ Treats allowed or restricted: __________________________________ Water or feeding notes: ________________________________________ Usual bedtime and sleeping setup: ______________________________ Crate trained? [ ] Yes [ ] No Comfortable alone? [ ] Yes [ ] No Exercise and bathroom routine: _________________________________ BEHAVIOR AND SAFETY Answer each item. Do not leave this section blank. Has this dog ever bitten, nipped, snapped at, or injured a person or animal? [ ] No [ ] Yes, explain when, what happened, and what triggered it: ______________________________________________________________ Does this dog guard food, toys, beds, people, doorways, or other items? [ ] No [ ] Yes, explain: ______________________________________ Has this dog escaped a yard, crate, leash, doorway, or vehicle? [ ] No [ ] Yes, explain: ______________________________________ How does this dog respond to: New adults: ___________________ Children: _____________________ Large dogs: ___________________ Small dogs: ___________________ Cats or small animals: ________ Handling/touch: ______________ Food near other dogs: _________ Being left alone: _____________ Known fears, triggers, or calming methods: ______________________ ______________________________________________________________ Commands and recall words the dog knows: _______________________ BOARDING DETAILS Requested drop-off date/time: __________________________________ Requested pickup date/time: ____________________________________ Items arriving with the dog: ___________________________________ Anything else the boarder needs to know: ________________________ ______________________________________________________________ OWNER CONFIRMATION I confirm that the information above is complete and accurate to the best of my knowledge. I agree to tell the boarder about changes before any future stay. Owner signature: ______________________________________________ Printed name: __________________________________________________ Date: _________________________ Reviewed with boarder: _________ NEXT DOCUMENTS Complete these separately before the stay: [ ] Boarding contract with rates, dates, payment, and cancellation terms [ ] Liability waiver and photo consent [ ] Emergency veterinary authorization with spending limit Houndtrust LLC provides this template for general information and convenience only. It is not legal or veterinary advice. Requirements and risks vary. Adapt the form to your business, insurer, veterinarian, and local rules.