Download Puptown Lounge Client Profile

Puptown Lounge
Client Profile
Please complete fully for our permanent records
Prior to subsequent visits – Please let us know if any of this information changes
Client Name ___________________________________________________________________________
Address ______________________________________________________________________________
City ____________________________Zip Code _____________ Wk Phone _______________
Hm Phone _________________________ Mobile Phone_________________________
Other_______________________ E-mail ___________________________________________
Emergency Contact _______________________ Relationship _____________
Phone ______________________
Pet Profile(s)
Pet 1 Name _____________ Age ___ Sex M/F? ____ Spayed/Neutered?__________
Species (Dog, Cat, Etc.)________ Breed ______
Pet 2 Name _____________ Age ___ Sex M/F Altered? ____ Species ________ Breed ______
Pet 3 Name ______________ Age ___ Sex M/F Altered? ____ Species _______ Breed ______
Food: Type / Amount / How Mixed / Feeding Schedule / Any Special Instructions
Food 1: ___________________________________________________________________________
Food 2: ___________________________________________________________________________
Food 3: ___________________________________________________________________________
Favorite Treats: how often/when: __________________________________________________
Favorite Activities / Toys: _____________________________________________________________
Training/Obedience/Commands: _________________________________________________________
Puptown Lounge
Is there a magic word for pee/poop?________________________________________________
How is your dog on lead?_________________________________________________________
Medications and instructions to administer:
______________________________________________________________________________
______________________________________________________________________________
Are vaccinations current? Yes ____ No ______ If no please explain:
_____________________________________________________________________________
______________________________________________________________________________
Temperament/attitude toward strangers, check all that apply: Excited __ Friendly ____
Aloof ____ Cautious ______ Stressed ____ Scared/Defensive _____ Aggressive ____
Indifferent ______
Dog/dog social skills/attitude; dog park or day care experience?
______________________________________________________________________________
Has pet ever bitten anyone or acted aggressively toward anyone? Yes __ No ____ If yes please explain:
______________________________________________________________________________
Physical conditions or problems to watch for/be aware of/house training or reliability of bladder/bowel
control:___________________________________________________________
______________________________________________________________________________
Please describe your pets’ normal eating/exercise/elimination routines
______________________________________________________________________________
______________________________________________________________________________
Puptown Lounge
Veterinary Information
Name of practice/hospital __________________________________________
Primary vet’s name ________________________________________________
Address ___________________________________City __________________
Phone ____ ____ ______
In the event of a health emergency, Puptown Lounge may exercise discretion in seeking veterinary care,
preferably to the above named veterinarian, should time allow. If our primary veterinarian is not available,
or it is after normal business hours, Puptown Lounge has permission to take my pet to the nearest
emergency animal clinic. I understand that I am responsible for the entire cost of care.
Pet Guardian ____________________________________ Date ____________
(Signature)
PLEASE ATTACH A COPY OF YOUR PETS’ MOST RECENT VACCINATIONS
Puptown Lounge
RULES AND REGULATIONS OF PUPTOWN LOUNGE
1. Boarding your pet at Puptown Lounge includes group socialization play time which could
expose your pet to injuries and virus/disease be transmitted. I also understand that
Puptown Lounge has daily cleaning and weekly disinfestations routines to prevent
spreading virus/disease.
2. All animals must be spayed or neutered to participate in day care activities.
3. Puptown Lounge requires proof of vaccination against Rabies and Bordetella (kennel
cough). Rabies is required for all pets and Bordetella shots are only required for dogs.
Notice of any recent or ongoing medical conditions or issues must be provided to Puptown
Lounge in writing prior to your pet’s stay.
4. Puptown Lounge provides supervision at all times when your pet is together with other
animals in the facility to prevent accidents that could cause injuries to your pet. If confirmed
that injury was caused because Puptown Lounge did NOT provide proper supervision and
care, Puptown Lounge will be responsible for veterinarian expenses.
5. Puptown Lounge will attempt to contact you in an event of an accident or sickness at the
phone number provided at the time of the reservation. If you cannot be reached at that
number, we will contact your veterinarian at the facility you have provided. In case of
extreme urgency, Puptown Lounge will transfer your pet to its on-call veterinarian facility.
You will be responsible for any extraordinary expense incurred by Puptown Lounge as to
your pet, such as veterinarian costs. These expenses do not include ordinary expenses
such as your pet’s food and water. In the unlikely event of your pet’s illness, injury, or loss
caused by Puptown Lounge, Puptown Lounge’s liability is limited to your economic loss.
6. If your dog displays aggressive behavior, for the safety and health of your dog and others,
your pet may be confined to a kennel or be muzzled for the remainder of his/her stay with
no offset or deduction in price. Puptown Lounge assumes no responsibility for harm
caused by your pet to a third person or other animal. You will be solely responsible for any
harm caused by your pet to any other person or animal while on Puptown Lounge’s
property.