OWNER’S INFORMATION SHEET
Name: ______
Address: ______
Post Code: ______
Home Number: ______
Work Number: ______
Mobile Number: ______
In case of Emergency please call:
Name:______
Phone number:______
Email Address: ______
Pet’s Name(s) 1. ______
2. ______
3. ______
Amelia Tyndale, Wimbledon Common SW19 4QT
07849 382163
PET CARE INFORMATION SHEET
Name of Pet: ______
Breed Of Dog: ______M/F? ______
Spayed/Neutered? ______
Age: ______D/O/B(If Known) ______
When are your pet’s vaccinations next due?
Regular Vaccines: ______
Kennel Cough Vaccine:______
Please list any current health problems or concerns you may have with your pet:
______
Is your pet on any medication or is having at home vet care? If so please list medications and instructions for care:
______
Please name the veterinarian that you use and their contact information:
______
Microchip, Tattoo, or Dog Tag Number: ______
Have you supplied your own food? Y____N______
Name of food: ______
**Please note there is an extra charge if I provide the food**
How many times a day do you feed your pet? _____ per day
Amount: ______
Does your pet have food allergies or any snacks or foods he/she is NOT allow to have?
(ie. Pig ears, raw hides etc)
______
What kinds of activities does your pet like to do (ie: play fetch, Frisbee, balls, chew toys, swimming)
______
How often do you walk your dog and for how long? ______minutes/walk
Is your pet house trained? Y/N or in training? Y/N Crate trained? Y/N
Have you ever boarded your pet before? Y/N
Has your dog ever bitten another dog or human? ______
Is your dog vocal when he plays with other dog? Y/N
My Pet is:
___Good with ONLY older children___Is afraid of loud noises
___Good with small children___Rides well in a vehicle
___Good with all children___Needs to be crated in a vehicle
___Good with cats___Does not ride well with in a
vehicle
___Not good with cats___Is a chewer and can destroy
things
___Good with other dogs___Will use a dog house
___Not good with other dogs___Is a barker
___Likes affection whenever its give___
___Likes affection on his/her terms___Is ok with brush grooming
___Spends most of the time inside___Is ok with bathing(if applicable)
___Spends most of the time outside alone___Walks well on a leash
___Is afraid of thunder___Needs more training on a leash
___Is unsure of strangers___Can be nippy
___Is a digger and will dig holes___Is a jumper and will jump out of a
run/fence
My dog is good off leash: _____ Yes ______No
My dogs will need to be fed separately: ______Yes ______No
My dogs will need to be crated separately: ______Yes ______No
I prefer that my dogs are crated separately: ______Yes ______No
What commands does your pet respond too? (stay, off, sit, etc)
______.
If there is anything else you could like me to know about your pet please use the space below. Please also include your pet’s daily routine and schedule.
______
Amelia Tyndale, Wimbledon Common SW19 4QT
07849 382163