BONE VOYAGE

353 - 900 Greenbank Road

Nepean, ON K2J 4P6

Tel: 843-1658

Fax: 825-7758

E-mail: info@bonevoyage.ca


DOG INFORMATION FORM
 

OWNER’S INFORMATION

Owner’s Name:

Address:

City:

Postal Code:

Tel (Home):

(Work):

(Cell):

Email:

Emergency Contact:

Tel. No:

How did you hear about Bone Voyage?

 
 

DOG’S INFORMATION

Dog’s Name:

Age:

Breed:

Male/Female:

Please check one:


Neutered

Not Neutered

Spayed

Not
Spayed

Approx Weight:

Name of Vet:

Vet Address:

City:

Postal Code:

Tel:

After Hours Emergency #:

Is your dog microchipped?

Yes

No

If yes, Microchip Number:

Is your dog housetrained?

Yes

No

   

Is your dog vaccinated?

Yes

No

Date of last vaccination:


Please note that we will need to see a copy of your dog’s current vaccination certificate before we can accept him for boarding.  There will be no exceptions allowed.

Any allergies?

Yes

No

 

If yes, please explain:

 

Any other information regarding your dog’s diet or medical condition that we should know about?

 

Has your dog received formal obedience training?

 

Yes

No

 

What commands does your dog understand?

 

How does your dog react to children?

 

If you checked “Other” please explain:

Not good with children

Good with all children

Good with older children

Don’t know

Other – please explain:

Would your dog be happy in a household with children?

 
 

How does your dog react to cats?

 

If you checked “Other” please explain:

Not good with cats

Used to cats – does not pay any attention

Don't know – never been exposed to cats

Will chase the cat

Other – please explain:

Would your dog be happy in a household with cats?

 
 

How does your dog react to other dogs?

 

If you checked “Other” please explain:

Not good with other dogs

Used to other dogs – does not pay any attention

Don't know – never been exposed to other dogs

Will play with other dogs

Other – please explain:

Would your dog be happy in a household with another dog?

 
 

Any other particular likes/dislikes that we should know about?   e.g. does your dog enjoy being in the car?  Is your dog frightened of anything in particular?

 
 

Does your dog display any destructive tendencies in the home?

 

If Yes, please explain:

Yes

No

 

In general, how would you describe your dog’s temperament?   (e.g. is he usually placid / energetic / obedient / excitable / calm / nervous, or use your own words):

 
 

How often is your dog left alone in the house and for how long?

 
 

When left alone, is your dog confined in any way?    Please explain:

 
 

Is your dog ever given any “people” food?

 
 

How does your dog usually ask to go out?

 
 

How often is your dog used to going outside?

 
 

When walking your dog, do you let your dog off the leash?

 
 

If yes, would you be happy for the care provider to let your dog off the leash in safe areas?

 
 

How does your dog react when he meets other dogs?

 
 

Is there anything in particular we need to know about keeping your dog safe?   Does your dog try to escape, jump fences, try to slip through open doors, dig holes to get under fences, etc.

 
 

DAILY ROUTINE

Please note that as the owner you must provide adequate food to last your dog during the entire length of his stay.  We believe that by keeping your dog on the same diet there is less chance of tummy problems, allergies, etc.

 

Briefly describe your dog’s daily diet plan:  (please indicate how often and when your dog is usually fed).

 
 

Is your dog used to having fresh water down at all times?  If no, please explain:

 
 

Is your dog on any medication?  If yes, please give us the name and details of the medication, what it is for and when it is given.

 
 

Where does your dog sleep at night?

 
 

Briefly describe your dog’s daily outdoor activities (indicate time of day and duration of walks and/or being let out):

 
 

Does your dog receive any treats?  Is there any particular time when you give treats to your dog? Please explain:

 
 

Is there anything else that we should know about your dog to ensure that your dog has the most enjoyable stay?

 
 
 
 

I confirm that all the above information is correct to the best of my belief.

NOTE: A copy of the completed form will be e-mailed to you as confirmation.