Customer Information Form

Form required for all bookings. Thank you!!

Owner's First name

Owner's Last name

Email

Phone

Street Address

City

State

Zip

Dog's Name

Dog's Breed

Dog's Age

Dog's Weight (approximately)

Dog's Sex

Male

Female

Spayed Neutered

Yes

No

Housebroken

Yes

No

Food Aggressive

Yes

No

Toy Agressive

Yes

No

Has your dog ever bitten a human? (if yes, please explain in comments at end of form)

Yes

No

Has your dog ever bitten another dog (if yes, please explain in comments at end of form)

Yes

No

Has you dog ever jumped a fence to escape your yard?

Yes

No

What will your dog eat while at Happy Tails Farmstay?

Food from home

Happy Tails Kibble

Happy Tails Fresh ($5 per day)

Other

Meal routine: Please provide feeding instructions (Portion size, time of day, more than once a day, etc.)

Will we need to administer any medications during your dog's visit? (If yes, please provide instructions)

Please check current vaccinations

Rabies

Parvo

Bordetella

Distemper

Is Heartworm treatment up to date? (not mandatory)

Yes

No

Flea/Tick Treatment Current? (Required)

Yes

No

Veterinarian Name

Veterinarian's Phone

Physical limitations, medical issues, extra care?

Additional Information you would like to share

Vaccination Records

Dog Photo