Pet Name, DOB, Breed, Weight, Color/Markings, Sex: Unneutered Male Neutered Male Unspayed Female Spayed Female feeding routine and portions: Drinking Water: Faucet Filtered Bottled Medication/Supplement Instructions: How does your dog behave at the vet? When did your dog last visit the vet? Does your dog have any ongoing medical conditions? Veterinarian to be contacted is: Clinic/Hospital Doctor Address Phone Number Should specified veterinarian be unavailable, does client authorize ALCPC to select veterinarian of their choice Yes No (no treatment will be provided if the primary vet is unavailable) Does your dog have a Microchip? No Yes # Dog is currently vaccinated as required by law: Yes No Plus Bordatella Where would you like your dog to be kept while alone at home (e.g. loose in home, crate, etc.)? Is your dog allowed on the furniture? Is your dog stressed by: Thunder Firecrackers Men Other ___________________ Please describe your dog’s disposition _________________________________________________ Does your dog have any sensitive areas that he/she does not like to be touched? Please describe: _______________________________________________________________________________ Client states that the dog to be cared for by ALCPS is safe to be around and as not previously caused injury to any person or animal unless stated below. Any special concerns or instructions related to ensuring the safety of personnel or others are listed herein: Has ever bitten: No Yes (describe circumstances of each incident): Enrichment: How often is your dog currently exercised off your property (e.g. walk, Dog Park)?_______________ Please list any pet names or special words you use with your dog: _______________________________________________________________________________ Favorite games or toys _____________________________________________________________ Please describe any undesirable behaviors your dog displays in the home (e.g. getting into trash, counter surfing, chewing, etc.): _______________________________________________________________________________ Please describe any undesirable behaviors your dog displays on walks (e.g. pulling, lunging, etc): _______________________________________________________________________________ What is your biggest concern about your cat being under a pet sitter’s care? Additional information we should know:

Your dog will participate with their friends in ball-fetching, chasing games, and many special activities including walking to the park we schedule from time to time. Each day we check the heat index and take very strict safety precautions with outdoor play times Individual Attention will be given to our guest snacks and cookie time. Nap Time, Yes, your dog will actually rest while it is here! Dogs rest in their crates and or pillow with soft music and lights out. This is important quiet time as your dog has had a very active morning and will need to relax and recharge. When conditions are fair, and temperatures are just right, The doggies will have time to get wet and play in the water. Afternoon Activities your dog will experience a slower pace of play, just as much fun but with less vigor, some outside relaxing time is included o Overnight Stays Require A Crate