Dog Profile Form Owners Name: Contact Address: Numbers: Email Address: Dogs Name: Age/DOB: Dog/Bitch Neutered? Yes/No Breed: Where did they come from? Insured? Yes/No Microchipped and wears name tag? How old were they when you got them? Yes/No What is your dog’s usual exercise regime daily/weekly? Feeding times: Does your dog have any medical problems or medications? Brand and variety of food: Amount: Does your dog have any fears or phobias? Any extras: Please specify: Any behaviours you would like to address or teach (if any): Has your dog ever shown aggression or reactivity? Please specify: Are you happy for me to take pictures of your Is your dog crate trained and/or used to dog/s for advertising use (and so you can see being left? Yes/No what they have been up to)? Yes/No Date: Signature: How did you find out about us?
Dog Profile Form Owners Name: Contact Numbers: Address: Email Address: Dogs Name: Age/DOB: Dog/Bitch Neutered? Yes/No Breed: Where did they come from? Insured? Yes/No Microchipped and wears name tag? Yes/No How old were they when you got them? What is your dog’s usual exercise regime daily/weekly? Feeding times: Brand and variety of food: Amount: Any extras: Does your dog have any medical problems or medications? Does your dog have any fears or phobias? Please specify: Any behaviours you would like to address or teach (if any): Has your dog ever shown aggression or reactivity? Please specify: Are you happy for me to take pictures of your dog/s for advertising use (and so you can see what they have been up to)? Yes/No Is your dog crate trained and/or used to being left? Yes/No Date: Signature: How did you find out about us?
FMLC-Dog-Profile-Form.docx