Home Boarding 1 Dog (Cowdenbeath) — Geopaw Premium

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Home Boarding ( 1 Dog )

Please complete the form below

Transportation Required

Collection

Drop Off

Your Details

Name *

First Name

Last Name

Address (inc Postcode) *

Home Phone No.

Work Phone No.

Mobile Phone No. *

Email *

Alternative Contact Details

Alternative contact must be in the UK at time of your absence and be willing to take the dog in the event of an emergency or if the dog is not settling in well with us.

Name *

First Name

Last Name

Relationship To Client *

Address (inc Postcode) *

Home Phone No. *

Work Phone No.

Mobile Phone No. *

Emergency Contact

Name Of Vet Practice Registered *

Address (inc Postcode)

Contact Phone No.

About Your Dog

Dogs name *

Date Of Birth (if known)

Breed

Sex

Male

Female

Colouring/unique characteristics

Is your dog vaccinated? *

All dogs in our care MUST be up to date with vaccinations.

Yes

No

Date of last vaccination *

Date of last worming treatment

Date of last flea treatment

Is your dog neutered?

Yes

No

Insurance

Yes

No

Microchip Number *

By law, all dogs must be micro-chipped. Please ensure your details are up-to-date

Please state any known health issues/allergies

Is your dog on any medication?

Yes

No

If answered 'Yes' please give detailed and clear information regarding any medication your dog is on. Include, name of medicine, dosage, frequency. Please also ensure you provide ample medication to last your dogs stay.

Please state any known behavioural issues

Is your dog crate trained?

Yes

No

Has your dog stayed away from home before?

Yes

No

If answered 'Yes', How did they cope?

Where does your dog usually sleep?

Please give details of your dog feeding routine.

Please give detailed information on type of food, amounts and how often they are fed daily.

How is your dog recall?

VERY GOOD (responds and recalls quickly in most situations)

GOOD (comes back most of the time)

MODERATE (can take a while to respond but recalls eventually)

POOR (doesn't respond)

Does your dog have a harness?

It's recommended that dogs in our care wear a harness whilst walking.

Yes

No

Short Survey

Please answer the following statements truthfully.

My dog pulls on the lead

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog is likely to resource guard

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog jumps up on furniture

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog jumps up at people

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog has separation anxiety

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog tends to bark/whine a lot

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog is likely to chew/scratch furniture

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

My dog tends to urinate/scent mark or mess in the home

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Any further information which may be useful?

Thankyou for completing the form.

We will provide you with our full Home Boarding Terms and Conditions which you will need to sign. You will also be provided with a copy for your own records.

You will also need to provide us with a photo or copy of your dogs vet vaccination card. This can be emailed to us at info@geopaw.dog

Geopaw Premium - Professional Dog Services

Cowdenbeath & Glenrothes

info@geopaw.dog

Hours

Mon All Day

Tue All Day

Wed All Day

Thu All Day

Fri All Day

Sat All Day

Sun All Day

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