F
860-491-3904 fax: 860-491-3906
diamonds56@optonline.net
DIAMOND CREEK PET RETREAT
& CANINE SPORTS CENTER
HOME
ABOUT US
RESOURCES / FORMS
MEET THE STAFF
TESTIMONIALS
ACCOMMODATIONS
VIRTUAL TOUR
GROOMING SALON
PLAYCARE
TRAINING
PET OBEDIENCE
AGILITY
BREED HANDLING
COMPETITION OBEDIENCE
NOSEWORK
SPECIALIZED TRAINING
PROFESSIONAL DOG HANDLING
SARA’S PHOTO GALLERY
CALENDAR
NEWS
SHOPPE
CONTACT
– – Main menu – –
HOME
- - ABOUT US
- - RESOURCES / FORMS
- - MEET THE STAFF
- - TESTIMONIALS
ACCOMMODATIONS
- - VIRTUAL TOUR
GROOMING SALON
PLAYCARE
TRAINING
- - PET OBEDIENCE
- - AGILITY
- - BREED HANDLING
- - COMPETITION OBEDIENCE
- - NOSEWORK
- - SPECIALIZED TRAINING
PROFESSIONAL DOG HANDLING
- - SARA’S PHOTO GALLERY
CALENDAR
NEWS
SHOPPE
CONTACT
Pet Profile Form
You are here
Home
Pet Profile Form
Web Site
Owner's Full Name
*
Street Address
*
City
*
State
*
Zip Code
*
Phone Numbers & Contact Information
Home Phone
*
Cell Phone
Work Phone
Other Phone
Email Address
How did you find out about Diamond Creek?
Guest Information
Guest's Name
*
Breed/Breed Mix/Species
*
Color
*
Date of Birth
*
Pet's Weight
*
Sex (M/F)
*
Male
Female
Spayed/Neutered?
*
Yes
No
Veterinary Information
Veterinarian Name and Practice Name
*
Veterinarian Phone
*
Any known allergies i.e. shampoos, perfumes, types of food etc.? Please also list if owner is allergic to any of the listed items and indicate “owner allergy”
Please list any long term or recurring medical conditions (i.e. ear infections, tick borne diseases)
Please indicate long-term medicines or supplements to be dispensed including name, what it’s prescribed for, and the instructions.
Medication/Supplement 1:
Medication/Supplement 2:
Medication/Supplement 3:
Prescribed/Used for:
Prescribed for:
Prescribed for:
Dosage: include am or pm:
Dosage: include am or pm:
Dosage: include am or pm:
Administered by: (check one)
in food
in treat
manually
topically
Administered by: (check one)
in food
in treat
manually
topically
Administered by: (check one)
in food
in treat
manually
topically
Feeding Information
Brand of pet food dry/canned/raw that you feed at home?
*
What kind of protein source (main ingredient in food), e.g., beef, chicken, lamb etc.?
*
Do you use raised food dishes at home? YES / NO
*
Yes
No
If Yes, what height?
How many times a day do you feed?
*
How much food measured by cups per meal?
*
Daily total food intake measured by cups
*
How much dry food by measured cup per serving?
Daily total dry food by measured cup
*
Do you add anything to the dry food (i.e. canned food, water, broth, yogurt)?
How much?
Did you bring it?
Yes
No
Special Diet and or Feeding instructions. If we run out, we will try to get your food at your own expense or switch to ours if we are unable.
Behavioral Instructions
Does your pet normally get any of the following items at home without supervision (check all that apply)?
Bedding (stuffed/non-stuffed)
Nylabones
Kongs (stuffed/empty)
Other toys
Does your pet have reactions to any of the following situations (check all that apply and please explain in further detail)
Thunder Storms
High Winds
Extreme Temperature (heat/cold)
Fireworks/Loud Noises
What should we know so that we may provide the best care to him/her? Tell us about your pet.
Has your pet stayed away from home and family before?
*
Yes
No
Were there any behavioral/medical concerns that you were aware of?
*
Yes
No
If yes, please explain.
Are there any food possession/toy possession issues?
*
No
Yes, with other animals
Yes, with animals and humans
If yes, please explain.
Multipet Information -- Only applies to pets of the same family sharing a suite or residing at the same time
When sharing a suite do they need to be supervised/separated during feeding?
Yes
No
If yes, please explain.
If in separated suites can they play together during exercise?
Yes
No
All Guests
Please enter any additional information that would help us care for your pet.