Pet Information Form

Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province
Mobile Phone
Home Phone
E-mail

Please provide the following pet(s) information:

Pet Name:  ____________________

Breed:       _____________________

Sex:           _____________________

Neutered:  _____________________

Pet Name:  ____________________

Breed:       _____________________

Sex:           _____________________

Neutered:  _____________________

Pet Name:  ____________________

Breed:       _____________________

Sex:           _____________________

Neutered:  _____________________

Please provide feeding instructions:

Feed apart from other pets/supervise  Dispose of uneaten food    

Morning Routine: _____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________

(type of food, amount, measured with, where 
to feed)

Evening Routine:______________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________

Treats: _____________________________________________________________________________________________________________________________________

(Amount 
and routine)

Pet's living area:

NOT allowed outdoors at all ONLY allowed outdoors on leash  Allowed outside on ownNOT allowed indoors

Allowed on furniture, beds   Restrict pet area/crate when pet is alone Restrict pet area/crate at all times

Restricted Area/Crate Location:________________________________________________________________________________________________________________

(also list other areas off-limits)

Emergency Information:

Vet's Name, Address,  Phone Number,  Pet Allergies

Emergency Care:__________________________________________________________________________________________________________________________________

Friend/Family/Neighbor Contact Information

________________________________________________________________________________________________________________________________________________

Temperament/Personality:

Pet doesn't like:

Other animals   Other people when being walked Rain/Snow/Cold  Loud Noises/Vacuum/Garbage Disposal/Thunder

People near food dish Dog Park  Car Rides

Has pet ever:

Attacked someone/bit someone   Attacked another animal  

Escaped from home.  If so, where do they go?  How can they be retrieved?

Favorite  games, toys or activities:

__________________________________________________________________________________________________

Miscellaneous Information:

__________________________________________________________________________________________________________________