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?___________________________________________________________
