New Client and Pet Information Form

Please fill out one form per dog, thank you!

Today's Date *

Owner's Information

First Name*

Last Name*

Phone Number*

Email*

Address*

Emergency Contact*

How did you hear about us?

What services are you interested in for your dog(s)? Check all that apply.

Private walks

Group walks

Drop-in visits

Transportation

Guarded walks

Dog's Information

Name*

Breed*

DOB or Age*

Color/Markings*

Approx Weight (lbs)*

Sex*

Female

Male

Spayed/Neutered?*

Yes

No

Microchipped?

Yes

No

I don't know

Is your dog up to date on vaccinations?*

Yes

No

I don't know

Does your dog get carsick? (vomiting, excessive drooling etc.)

Yes

No

Medical Conditions/Allergies

Is your dog taking any medications? If yes, please list.

What veterinary office or hospital do you bring your dog to?*

Do you bring your dog to socialize with others at any of the following places?*

Dog Parks/Beaches

Daycare/Boarding

Socialization/Training classes

I have not socialized my dog

After submitting this form, please email a copy or clear photo of your dog's current vaccine records (including Rabies, DHPP and Bordetella) to records@wlvcanineco.com.

This helps us keep your dog safe and compliant with local health standards.

Thank you!

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