Join our Pawsitive family!

Name

Email Address

Phone Number

Emergency Contact (Name & Phone)

Address

Pet Name

Breed

Age/DOB

Gender Gender Male Female

Spayed/Neutered Spayed/Neutered Yes No

Weight

Veterinarian Name & Clinic

Vet Phone Number

Please check all that apply Please check all that apply Friendly with dogs Friendly with people Nervous/anxious Reactive to dogs Protective of toys/food Has bitten or snapped (Explain Below)

If dog has snapped or bitten, please explain

Any known fears or triggers?

How does your dog do in a home-based environment with multiple dogs?

Current Medications

Allergies

Is your dog up to date on Rabies, Distemper/Parvo, and Bordetella? Is your dog up to date on Rabies, Distemper/Parvo, and Bordetella? Yes (Proof Required) No

Does your dog have any restrictions or physical limitations?

Feeding schedule & amounts

Potty schedule

Can your dog have treats? Can your dog have treats? Yes No

If yes, any restrictions?

What services are you requesting? What services are you requesting? Doggy Daycare Overnight Boarding Drop-In Visits Other

Preferred Start Date

Please acknowledge the following: Please acknowledge the following: I understand that Pawsitive Pet Care Services is home-based and operates with limited capacity. I agree to follow all drop-off/pick-up procedures, including texting upon arrival and adhering to posted hours. I agree to the cancellation, reservation, and payment policies outlined in the Client Information Packet. I confirm my dog is healthy, not aggressive, and free of contagious illnesses. I understand holiday surcharges and closures may apply.

Signature SaveClear