NW Paws Member Profile

 

Dogs’ Name: ____________________ Parent/Owner Name: ______________                                                  

Breed: ________________________Sex (M/F): _________

Neutered/Spayed: _________Date Of Birth: __________ Color: ________                                Approximate Weight: ________________

How old was your dog when you brought him home? __________                                                                       

How/where did you get your dog?  _______________________________                                                                                                  

Which Flea Program do you use for your dog? ______________________                                                                                 

Allergies: _____________________________                                                                                                                                            

Dietary Restrictions: ____________________                                                                                                                         

Does your dog have any health issues that would limit movement or activity?  ___________________________________________________________                               

Describe: ___________________________________________________                                                                                                                                           

                                                                                                                                                          

Text Box: Medications:

Name: ____________________ 
Reason for Use: ____________   
Dosage: ___________________
Notes: ____________________
__________________________
__________________________

Text Box: Medications:

Name: ____________________ 
Reason for Use: ____________   
Dosage: ___________________
Notes: ____________________
__________________________
__________________________

 

 

 

 

 

 

 

 

Food:

 

What type of food does your dog eat? _____________________________

Amount: _______________________________________          

Number of times per day: __________________

 

 

We want to get to know your dog!

 

Please complete the information below on each dog that will be attending NW Paws at Play!

 

Habits:

 

How active is your dog? ______________________________________                                                                                                              

Does your dog like children? __________________________________                                                                                                       

Has your dog visited other doggy day-cares? ______________________________                                                                                

Has your dog visited Dog Parks or Beaches? ______________________________                                                                                                            

How has your dog responded to that environment? _________________________                                                                           

________________________________________________________________                                                                                                                                                                                                                                                                  What does your dog do when you are not at home? __________________                                                                    

Is there a particular type of person your dog automatically fears or dislikes? ___________________________________________________________________                             

How does your dog react to small dogs or puppies? ______________________                                                                   

How does your dog react to large dogs? _____________________________

What kind of toys does your dog like? __________________________________

Are there any “games” you play with your dog? __________ Please describe: ___  ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________                                                                                   

Has your dog ever growled or snapped at anyone who has tried to take food or toys away? __________________         

Does your dog exhibit protective behavior around you, or other members of your family? ________________                 

Has your dog ever bitten anyone? ___________________ Details: _______ _____ ______________________________________________________________________________________________________________________________________

Has your dog been in a dog fight where puncture wounds have occurred? ________                                    

Does your dog have a tendency to be an escape artist? ______________________                                                        

Has your dog ever climbed a six-foot fence? ___________________________                                                                                

Does your dog like to dig? _______________                                                                                                                 

Is your dog house-trained? _______________                                                                                                               

What words do you use for "go potty outside"? _____________________________

Is your dog crate trained? _____________________________________________

How does your dog react to being in a crate? ______________________________

How does your dog react to a vacuum cleaner? _____________________________                                                                                

Does your dog know any tricks? ______________ Please tells us about them: ___________________________________________________________________                           ___________________________________________________________________________  __________________________________________________________

Has your dog attended any training classes? _______________                          

What type? _____________________________________________________                                                                                                                                                                                                        

How many class sessions did you take? _______________________________                                                                                              

 

 

Please provide any other information you think would be helpful:                                                       

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