Boarding Intake Form Page 2
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5Treats:
Name: ___________________ Location in Home: _______________ Avg. Size Given: ________
Name: ___________________ Location in Home: _______________ Avg. Size Given: ________
Other Treat Info We Should Know: ____________________________________________________
_______________________________________________________________________________
Allergies:
Yes __________
No _________
If yes, please list known allergies: ____________________________________________________
_______________________________________________________________________________
Administration of Medications:
Name of med ________________________ Dosage _____________
Frequency ___________
Name of med ________________________ Dosage _____________
Frequency ___________
Name of med ________________________ Dosage _____________
Frequency ___________
Veterinarian Information:
Practitioners Name: _________________________ Website:______________________________
Phone: _____________________________ Email:______________________________________
Address:________________________________________________________________________
Petting:
Favorite spot(s): ________________________________________________________________
Soreness:______________________________________________________________________
Sensitivities: ___________________________________________________________________
Furniture:
Privileges ______________________________________________________________________
Off Limits Areas _________________________________________________________________
GRACE Dog Training & Behavior
1930 Wadsworth Blvd. Lakewood, CO 80214 — 303.238.DOGS (3647)
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