New Pack Member Intake Form!Please fill out if you are a new client and are interested in our daycare and/or boarding services! OWNER INFORMATION How Did You Hear About Us? * Google/Google Reviews Other Search Engine Drove By Instagram Globe-Miami Mesa City Lifestyle Current Client Other Owner's First & Last Name * Please check if you apply to any of the following: (Proof of job required) You may qualify for discounts if you are currently any of the below public service jobs. Military (Active or Veteran) Nurse Police Officer Fire Fighter Paramedic/EMT Teacher (PreK - 12th) Cell Number * (###) ### #### Email * Home Address Address 1 Address 2 City State/Province Zip/Postal Code Country Co-Owner's First & Last Name If Applicable Co-Owner's Number If Applicable (###) ### #### EMERGENCY CONTACTS Emergency Contact's First & Last Name * Emergency Contact's Number * (###) ### #### Relationship To Owner Veterinarian Clinic Clinic Phone Number (###) ### #### DOG INFORMATION Multiple dogs in household: please fill out one form per dog. Service Requested * Daycare Boarding If interested in boarding, please let us know for what dates to check for availability. You can skip this if you do not have dates. Please call if you need boarding for longer than 2 weeks. Dog's Name Sex Male Female Fixed? (Neutered/Spayed) * ALL DOGS MUST BE FIXED IF OVER A YEAR OLD PER MARICOPA COUNTY REGULATIONS YES NO - under 1 year old Anticipated Date of Getting Fixed (If Under a Year Old) * This does not have to be an exact date - just an estimate. MM DD YYYY Dog's Birthday MM DD YYYY Weight Breed Color/Markings Vaccinations DHPP - REQUIRED Rabies - REQUIRED Bordatella (Kennel Cough) - REQUIRED Flea & Tick Treatment - NOT Required Expiration Date for Vaccinations * Month/Year Known Health Conditions BEHAVIOR & TEMPERAMENT Potty inside, outside, both? Desert Pups is an INDOOR ONLY shop & our potty area is artificial turf like at dog parks. Please reach out if outdoor only. Usual potty times throughout the day Favorite Activities Social Temperament Dog Friendly Dog Reactive People Friendly People Reactive Additional information regarding dog's behavior and temperament * Please list any triggers, places to not pet, etc. FEEDING INFORMATION Meal Schedule ALL boarding inquiries please fill out. Daycare inquiries please fill out if you will need us to feed your pup during the day. Amount of Daily Food Does your dog need medication? If yes, please fill out Medication Administration Form Yes No Medication Administration Info If you selected yes above, please list all their medications, dosage, and when they get them. Food allergies, restrictions, or sensitivities Thank you for your interest in getting your pup started with the rest of The Pack here at Desert Pups! Please be on the lookout for an email directly from the owner, Madison. Check your spam folder or add us to your address book!Please allow 1-2 business days for a response. If you need immediate assistance, please give us a call.Contact: bark@desertpups.com or 928-701-2298
