Dog Information Sheet.

Owner’s name ______________________________________Phone____________________________ Address_____________________________________________________________________________

Email Address________________________________________________________________________

GUEST INFORMATION. *All dogs must have a current C5 vaccinations (please bring the current vaccination certificate with the animal to ICPR)

Guests’ Name ______________________________ Breed.___________________________________

Male □. Female □. Desexed □. DOB________________. Colour.________________________________

Does your dog have any physical limitations/medical problems? Y / N What?_______________________

____________________________________________________________________________________

Is your dog on any medication now? Y/N, What?______________________________________________

Does your dog have food allergies Y/N, What?________________________________________________

Is your dog crate trained Y/N.

How much exercise does your dog get when at home?__________________________________________

How does your dog react to other dogs approaching while they are out on their walks with you - Do they

growl □, bark □, wag their tail □? Please specify if this happens when: On lead □. Off lead □. How does your dog react when strangers enter your property?____________________________________

_______________________________________________________________________________________

TICK activites your dog enjoys: Swimming □. Going for walks □. Retrieving □. Playing Tug o war □. Chewing on Toys □. Sleeping □.

Chasing things □. Running around □. Digging □. Being groomed □. Barking □. Obedience training □.

Playing with other dogs □.

Please TICK anything that applies to your dog:

Does not listen to commands □. Shy with adults/kids □. Steals things □. Growls at other dogs □.

Barks a lot □. Fearful of new situations □. Guards objects of people □. Runs around out of control □.

Chews on inappropriate objects □. Bites people/other dogs □. Chases cats/kids/cars □. Barks a lot □.

Jumps up on people □. Is a fence climber □. Is storm phobic □. Has separation anxiety □.

Anything else we need to know?___________________________________________________________