Contact InformationOwner/Guardian *Mailing Address *CityState/ProvinceZIP / Postal CodeCell Phone *Other PhoneEmail Address *Emergency Contact Name *Phone *Who else is authorized to pick up your dog?(Photo ID required for pickup)NamePhoneWho should receive daily text/photo updates about your dog?NameCell PhoneNameCell PhoneWhere did you hear about Summit Kennels?Dog InformationDog's Name *Breed *Age *Sex *MFColor/MarkingsWeight (lbs)Housebroken? *YesNoMicrochip/TattooDate of BirthSpayed/Neutered? *YesNoHealth InformationPlease describe any health or physical conditions, particularly anything that would limit physical activity or require special care/accommodations.Type of flea control *Date last givenVet Name *Vet PhoneBehavior InformationDoes your dog become nervous, act aggressively, or bark/lunge at other dogs? *YesNoDoes your dog exhibit anxious behavior (barking, whining, destructive behavior, pacing, etc) when you leave your dog? *YesNoIs your dog crate trained? *YesNoHow many times per day does your dog go potty? *Does your dog have any guarding tendencies (not letting humans near) with: *FoodToysBeddingFurnitureOther DogsPeople (including you)Dog PoopAreas in the HomeOtherNonePlease check all that applyAdditional helpful information about your dog:Feeding InstructionsPlease provide detailed instruction on how to feed your dog, including how much per serving, what if anything is added to the meal, etc.When is your dog fed? *MorningLunchtimeEveningOtherOther feed times?Dog food (brand/flavor/formula) *Amount per serving: *Additives:Additional feeding instructions:Is it O.K. to give your dog treats? *YesNoIf your dog isn't eating well, is it O.K. to add things like yogurt, sardines, bone broth, etc. to their food to entice them to eat? *YesNoAny food your dog should NOT be given? Submit
