Pet Intake Form – R2theRescue Pet Resort

R2 Pet Resort | Pet Intake Form

Human(Owner) Information

Last Name:

First Name:

Email:

Phone Number:

Address:

Emergency Contact:

Emergency Phone Number:

Emergency Email:

Veterinarian Name/Clinic:

Veterinarian Phone:

Pet Name(s) & Visit Details (to include feeding/play/sleep instructions)

Name:

Sex:

Spayed/Neutered?:

Color and notable markings (for identification purposes):

How long have you had your pet?:

Please tell us a little history about your pet and where they came from:

Feeding/Treats

Please provide your pet’s daily eating routine and anything specific we should take note of during meal time. Also please let us know if your pet has any ‘guarding’ issues with food and
how/where do you typically feed them. e.g. (Morning, Mid-day (if applicable), Evening)

May your dog be fed pet treats and are there any he/she may NOT have?:

Does your pet suffer from any food allergies, chronic illness (seizures/stress/diarrhea,etc) or require daily medication? Please explain in full detail:

Bedtime/Nighttime Routines

Does your dog sleep in a crate?:

Special blankets/padding/bedding/any other arrangements we should be aware of? If boarding as a pair – do they sleep together or apart?:

Does your pet guard objects/food? If yes please expound:

Commands your animal knows/responds to(in general and also with respect to playtime):

Please answer the following for the safety of your pet and others

Has your pet ever bitten another animal or human to your knowledge and do you know what the aggravating factors were?:

Does your pet like to dig/jump/climb things?:

Any additional instructions/restrictions/personalities we should be aware of to ensure the safety and happiness of your pet while with us?:

How did you find us?
If you were referred – please tell us who to thank!: