VACCINE HISTORY. Has your dog(s) been vaccinated against? (*Department of Agriculture requirement) Distemper? Y□ N□ Bordetella (Kennel Cough)? Y□ N□ Rabies ? Y□ N□ Is your pet on Monthly Flea Prevention? Y□ N□ (must be on a flea control program and free of fleas) Name of Flea Product Name of Veterinary Hospital BEHAVIORAL HISTORY: Has your doggie(s) ever attended Doggie Daycare? □ Yes □ No Has your doggie(s) ever been Boarded? □ Yes □ No In a cage □ Yes □ No Cage -‐ Free □ Yes □ No Has your doggie(s) ever been in a cage-‐free environment? □ Yes □ No If yes, please describe: Has your dog ever exhibited aggressive behavior towards people or other dogs? □ Yes □ No Has your dog ever bitten a person? □ Yes □ No Attacked another dog? □ Yes □ No Has your dog ever jumped a fence? □Yes □No If yes, how high was the fence? Were there any medical or behavioral issues reported? □ Yes □ No If yes, please describe: Does your dog have any medical problems or physical ailments we should know about? □ Yes □ No (such as: seizures, asthma, arthritis, incisions, separation anxiety, etc.) If yes, please describe: SPECIAL CARE INSTRUCTIONS (for overnight boarding) We recommend that you bring your dog's regular food, since dietary changes can result in stomach upset. If you do not wish to bring your pet's food, we will provide a quality brand dry dog food. Food brought from home: □ Yes □ No Name of Food: Feeding Instructions: Quantity to Feed: □ Breakfast □ Lunch □ Dinner Will your pet need any medication (pills, ointments) administered during the stay? □Yes □No If yes, Medication Name & Instructions: What condition does this treat? TERMS OF AGREEMENT: (PLEASE INITIAL IN BOX) All dogs must be picked up before close of business on day of scheduled pick-‐up. Dogs not picked up by close of business hours will be held for overnight boarding at the standard rate. The dog may be picked up after opening the following day. A credit card number is required to secure your boarding reservation. A cancellation less than 48 hours prior to check-‐in, or failure to show up for your reservation, will result in a charge of one night's boarding. It is our practice to allow cage-‐free playtime and exercise to the maximum extent possible . However, if behavior issues warrant, staff of Alo’s Dog House reserves the right to isolate any dog to ensure the safety of all. Dog Owner understands the risks of cage-‐free boarding or day care. At Alo’s Dog House, both Day Care dogs and Boarded dogs are allowed to mingle ...
VACCINE HISTORY. Have you had the following vaccines and/or titers? (Please attach documentation of immunization or immunity for vaccines you have received.)
