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- Paw Care Application

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Paw Care Application

Owner's First Name:

Owner's Last Name:

Pet Name:

Breed:

Pet's Date of Birth

Phone Number:

Email:

Work Phone:

Weight:

Spayed/neutered? YesNo

Base color:

Address:

Street Address:

City:

State/Province/Region*

Pet Health (Select all appropriate answers):

Allergies (including food): YesNo

If yes, please note allergies:

Medical Condition: YesNo

Medications: YesNo

If yes, name of medication, amount and frequency:

Social Background

Does your dog live with other dogs? YesNo

Is your dog a rescue? YesNo

If your dog is a rescue, how long has the dog been in your home?

Does your dog go to dog parks? YesNo

Does your dog do well with other dogs? YesNo

Your dog interacts best with: Smaller DogsDogs same sizeBigger DogsIndividual play

Has your pet been boarded? YesNo

Has your dog gone to daycare? YesNo

Please provide the Name & Number of the previous facility for daycare and/or boarding:

Feeding Instructions

Do you give your pet treats? YesNo

May we give your pet treats? YesNo

May we use wet food? YesNo

Type of food: Amount: Times per day: Brand of food: If your pet becomes stressed/excited in boarding and is not eating, can we use wet food or broth to entice? Additional feeding instructions: How did you hear about The Bark Zone? Note: Please do not bring large bags of food. Food must be in individual bags per feeding and labeled with your pet's first and last name. By signing below, I agree with the requirements listed on this application. I certify the information provided is accurate, true, and complete.

Employer Name & Location: Other person authorized besides listed above to pick up pet while in our care? (Name, relationship & Phone number)

Emergency Contact Information:

If you are unable to be reached, the information below will be used as an emergency contact. (Below individuals should have the ability and permission to make both financial and emergency decisions for you and your pet. Needs to be someone else that doesn’t travel with you or spouse.) Name & Phone: Veterinarian Name & Clinic: Vet Phone Number:

Behavioral:

Was your dog crate trained? YesNo

Describe your dog's behavior during thunderstorms (calm, nervous, scared, no reaction):

Has your dog ever dug or jumped a fence? YesNo

Has your dog shown signs of food aggression? YesNo

Has your pet ever been in a fight? YesNo

Has your dog ever bitten another dog? YesNo

If yes, to fight or bitten, please expand on the situation:

Has your pet ever bitten another human? YesNo

Does your pet have accidents in the crate or house? YesNo

Does your pet exhibit any anxiety while alone? (destructive behavior, barking, etc.) YesNo

Does your pet have any other fears or anxieties? YesNo

If yes, please explain:

Has your pet been off-leash outdoors? YesNo

Does your pet exhibit any of the following guarding actions? With toysWaterPeopleOther

By clicking "Yes", you agree to our Terms and Conditions. Please click "Yes" to submit the form. Yes

Download our agreement

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Company info

(239) 826-1090
thebarkzoneinc@gmail.com
18100 Wells Rd
North Fort Myers, FL 33917
Monday to Friday
8:00 a.m - 6:00 p.m
Saturaday
8:00 a.m. - 4:00 p.m.
Sunday
8:00 a.m - 1:00 p.m.

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