ASSESSTMENT FORM

PET OWNER INFORMATION

First Name *

Last Name

Date of Birth *

Email Address *

Contact Number 1 *

Contact Number 2

Complete Address *

Will You Be Out Of The Country?
Yes
No

Service you want to avail
Boarding
Daycare

SECONDARY CONTACT

First Name

Last Name

Relation

Contact Number 1

PET INFORMATION

Name *

Age *

Breed *

Microchip Number

Gender *
Male
Female

VETERINARY INFORMATION

Clinic's Name

Contact Number

Complete Address

FEEDING INSTRUCTIONS

If your pet is prone to gastrointestinal issues or on a special diet, please be sure to bring your own food as a sudden change in diet may worsen these issues or cause diarrhea.

Will we be feeding our food or your pet’s own food? (We provide Royal Canin and Taste of the Wild Dry Food)

How often would you like us to feed you pet?

If only 1x day, when would you like us to feed?

How much do you feed at one serving?

(Please use cups as measurement. If your pet is free fed, please indicate how many cups are fed per day)

MEDICATION INSTRUCTIONS

Additional fees apply. Please consult a staff member for more details

Is you pet currently taking any medications that need to be administered while boarding?
Yes No

WHAT TO ANTICIPATE WHEN BRINGING YOUR DOG HOME:

Hydration:

Upon returning home, your dog is likely to be quite excited, leading to increased thirst. Offer a small amount of water or ice cubes within the first half-hour, avoiding excessive intake to prevent potential stomach upset.

Mealtime:

Ensure your dog has a calm and cool resting place before being fed or engaging in any strenuous activities. We recommend waiting at least one hour before feeding your dog upon their return.

Paw Licking:

It is common for dogs to lick their paws following their time with us. This behavior is typically associated with sore pads resulting from a day of energetic activity. While blisters may occasionally develop, these usually resolve within a day or two.

Rest:

Your dog may exhibit signs of fatigue and appear lethargic or "stiff" upon arrival home. This is a normal response to a day filled with play and interaction with other dogs. There is no need for concern, as your furry friend will likely return to their energetic self within a day or two.

You may pack your dog’s food and any necessary medication, as well as any toys or blankets that will make them feel more at home. We provide bedding and bowls for all dogs in our care, but you’re welcome to bring your own if you prefer.We recommend maintaining your pet's usual diet during their stay. Please bring enough of their regular food at check-in; otherwise, we'll provide Taste of Wild Dry Food. If you bring your pet's food, we can store, freeze, or refrigerate it. No extra charge for special food prep. Avoid treats with rawhide or choking hazards. If no dietary preference, we offer our standard in-house food. Ideally, let your dog adjust to our feeding times—options for once, twice, or three times a day. Limit your pet's food on the arrival day due to excitement. Also, restrict food and water for the first hour or two after returning home to help them settle down.

By ticking, you are confirming that you have read and understood the terms of this waiver, and agree to abide by them. *
Terms & Conditions

Client's Signature *

Pet Care Provider's Signature

Date

Need More Information? Request a Call Back!

Have questions or need assistance with our services? Our friendly team is here to help! Simply fill out the form below, and one of our representatives will get back to you promptly.

Full Name *

Mobile Number *

Email Address *

Enquiry for *

From where you heard about us? *

1. Heart condition	Yes No
2. Thyroid disease	Yes No
3. Allergies (skin, food products)	Yes No
4. Seizures (Explain frequency, severity, behaviors to look for.	Yes No
5. Allergies (skin, food products)	Yes No
6. Physical limitations (Arthritis, blind, deaf, missing limb)	Yes No
7. Cancer	Yes No
8. Diabetes	Yes No
9. Chronic infections (Ear, eyes, skin, etc.)	Yes No
10. Urinary tract infections or urinary/kidney stones	Yes No
11. Any recent vomiting, diarrhea, coughing, sneezing, runny eyes?	Yes No
12. Do you use flea/tick preventative ? Last given? Product?	Yes No
13. Spayed / Neutered	Yes No
REMINDER Dogs participating in the C & C Pawsome Place program must be up-to-date on the following vaccinations: Distemper (A), Hepatitis (B), Parvo (B), Para Influenza (A), and Rabies (R) (valid for 1-3 years). While Bordetella is optional, it is strongly recommended. Additionally, Giardia prevention is also advised. It is mandatory for all dogs to undergo monthly flea prevention treatment.
14. How long have you owned your dog?
15. Attended any dog Day Care or Doggie Camp?	Yes No
16. Boarded in a facility?	Yes No
17. Is your dog on a flea, tick and heartworm preventative?	Yes No
18. Does your dog have separation anxiety?	Yes No
19. How does your pet normally react to people they are unfamiliar with?
20. Has your pet ever bitten another dog or person?	Yes No
21. Is your pet kennel or crate trained?	Yes No
22. Does your pet ever show aggression when guarding a toy?	Yes No
23. Would you like your dog to receive a daily Treat when attending daycare?	Yes No
24. Does your pet jump fences?	Yes No
25. Do you have any other comments or information about your dog that might be helpful?

	Name of medication	How much?	Given	With food?
				Yes No

ASSESSTMENT FORM

PET OWNER INFORMATION

SECONDARY CONTACT

PET INFORMATION

VETERINARY INFORMATION

PET HISTORY

REMINDER

FEEDING INSTRUCTIONS

MEDICATION INSTRUCTIONS

*Additional fees apply. Please consult a staff member for more details*

WHAT TO ANTICIPATE WHEN BRINGING YOUR DOG HOME:

Hydration:

Mealtime:

Paw Licking:

Rest:

Need More Information? Request a Call Back!

Need More Information? Request a Call Back!

Additional fees apply. Please consult a staff member for more details