Sleepover Form

Your name, address, and cell number:

Your dog's name, age & breed.

Has your dog been spayed or neutered?

Name of primary veterinarian, and address of clinic:

Do you have pet insurance? If so, who is it with & what's your policy number?

Are there any health issues that I should be aware of?

Is your dog on medication? If so, please list what they are taking, how much and how often.

What does your dog eat? How much, and how often?

Does your dog have any food alergies?

Does your dog struggle with any of these behavioural challenges?

Check all that apply

Resource guarding food/toys/people/places

Fearful of strangers

Fearful of children

Reactive towards other dogs

Separation anxiety

Sensitive to touch/body handling/grooming

Sound sensitivity

Other

If you checked a box above, please provide some more details.

What does your dog like to do for fun?

Thank you so much for taking the time to fill in this form. Is there any additional information that you think would be helpful?

saffrina@yourseniordog.ca