Intake Please fill out this form prior to your trial stay with SoloDogs. Required fields are marked * (You will receive a copy of this form via email) Client Information *Your Full Name: *Email: *Main Phone: Okay to send texts to main phone? No textingText onlyText and picturesText, pictures, and video Additional Phone: Okay to send texts to additional phone? No textingText onlyText and picturesText, pictures, and video *Your Address: *Emergency Contact Information (someone who is not traveling with you): Dog Information *Dog Name: *Breed/Description: *Sex/Reproductive Status: female, spayedfemale, intactmale, neuteredmake, intact *Birthdate / Current Age: Microchipped? YesNo If yes, please list where the microchip is registered: Feeding: *Please list type of food you will be providing and feeding schedule: Does your dog have any food sensitivities/allergies? YesNoUnknown If yes, please list: In the event that your return is unexpectedly delayed and we run out of food for your dog, please list what type of food could be purchased at "All The Best Pet Care in Edmonds" that would be suitable: Please check all that you dog is permitted for treats: BananasBlueberriesAppleCarrotsPeanut ButterOnly Treats Provided By Client *How many times a day does your dog typically poop and when: Medical Information: *Please list all your dog's medical conditions: Is your dog taking any medications or supplements?YesNo If yes, please name, dosage, frequency: *Preferred Veterinarian Name/Address: *Phone: Second Choice Veterinarian Name/Address: Phone: Has your dog ever had experience with anesthesia? If yes, please detail: Household Activities: *Normal nighttime sleeping arrangements: *What time of night does your dog usually go to bed: *What time in the morning does your dog usually wake up: *If your dog has verbal cues to urinate or defecate, what are they? *If your dog has verbal cues to go into their crate, what are they? *If your dog has verbal cues that you use when you are leaving, what are they? *When you leave your dog alone in your home is she/he: In a crateConfined to one roomHas the run of the whole house When left alone, has your dog displayed any tendency towards separation anxiety (barking, property damage, etc)? If yes, please describe: Please list your dog's favorite activities that can be done indoors or in a yard: Please any activities that you do NOT want done with your dog: Is your dog allowed up on: my couchmy bedmy lap If I leave your dog alone in my dog run room for 4 hours would you prefer: doggie door is accessibledoggie door is lockeddon't care about doggie door Please list any phobias your dog has (ex: thunder, smoke detector beeps, hats, sunglasses, fireworks, vacuums, children, men, washing machines or dryers, lawnmowers, leafblowers) I am home and your dog is in my backyard, what are your preferences? Is dog: Okay to leave unattendedOkay to leave unattended for a few minutesUnder observation all timesOn leash Anything else I should know to make your dog's stay as comfortable as possible?