Dog Boarding Paperwork | Pawz on Pine Dog Boarding Services

Owner Information

Owner’s full name

Primary phone number

Email address

Please provide your home address below.

Home address

Country/Region

Address

City

Zip / Postal code

Emergency contact name and phone number

Will you be traveling out of state or internationally during your dog’s stay?

Yes

No

If yes, how can we reach you in an emergency?

Dog Information

Dog’s name

Breed or breed mix

Age or date of birth

Sex and reproductive status (male/female, intact/spayed/neutered)

Approximate weight

Is your dog microchipped? If yes, please provide the microchip number.

Is your dog current on all required vaccinations?

Yes

No

Behavior & Safety

How would you describe your dog’s personality?

How does your dog interact with unfamiliar dogs?

How does your dog react to unfamiliar people?

Has your dog ever bitten, snapped at, or displayed aggression toward a person or another animal?

Yes

No

Does your dog exhibit separation anxiety, excessive barking, or destructive behavior when left alone?

Has your dog ever escaped or attempted to escape from a home, fenced yard, kennel, or boarding facility?

Has your dog ever jumped or climbed a fence, dug underneath fencing, or forced open a gate? If yes, approximately how tall was the fence?

Has your dog ever slipped out of a collar, harness, or leash?

Yes

No

Does your dog pull, bolt, or attempt to run when frightened or while being walked on a leash?

Does your dog have any known fears or triggers, such as loud noises, unfamiliar environments, or sudden movements?

Does your dog reliably come when called, including in unfamiliar environments?

Yes

No

Does your dog exhibit food aggression, resource guarding, or possessive behavior involving toys, bedding, or other items?

Has your dog ever been refused boarding, removed from daycare, or required special handling because of behavioral concerns?

Health & Daily Care

What is your veterinarian’s name, clinic, and phone number?

Does your dog have any medical conditions, allergies, physical limitations, or special health concerns?

Does your dog require medication during boarding? If yes, please list the medication names, dosages, and schedules.

Has your dog experienced vomiting, diarrhea, coughing, or other symptoms of illness within the past 14 days?

Yes

No

What brand and type of food does your dog eat, how much do they receive, and how often are they fed?

Does your dog have any dietary restrictions, food sensitivities, or feeding-related concerns?

Is your dog house-trained and comfortable being kenneled or crated?

Yes

No

Does your dog require any special accommodations, handling procedures, or daily routines during boarding?

Boarding & Emergency Information

Do you authorize Pawz on Pine LLC to obtain veterinary care for your dog in an emergency if you cannot be reached promptly?