Client Name:       Address: 

Dog's Name:       Gender:  Male  Female      Friendly:  Yes  No

Breed:      Color/Markings: 

Description:      Size: 

Obedience Trained:  Yes  No        Respond To Commands:  Yes  No 

Rabies Vaccination Date:     License Number:  

Description Of Commands: 

Has this dog ever bitten anyone:  Yes   No      Acted Aggressively:  Yes  No

Aggressive with food:  Yes  No      Place/Area/Toy Aggressive  Yes  No

Attitude Towards Other Dogs:

How does your dog do on a leash: 

Does your dog try to get away outside:  Yes  No      Does your dog fight:  Yes  No

If yes, what is the best way to stop the fight:

Can food/toys be taken away:  Yes   No    

How sure are you your dog will not bite/act aggressive towards us: Very Sure  Moderately Sure  Not Sure

Favorite Treats:     Location: 

How Given:     Favorite Activities/Toys/Words: 

Feeding Instructions:

Food Location:    Cleaning Supplies:

Other Care Instructions:

Physical conditions or problems to be aware of: