Your Dog's Name (required)

Your Dog's Birthdate

Your Dog's Breed(s)

Is your Dog liscensed by the city of Toronto?

YesNo

Tag #

Owner's First Name (required)

Owner's Last Name (required)

Owner's Address (required)

Your Email (required)

Primary Phone Number (required)

Emergency Contact Name (required)

Emergency Contact Phone Number (required)

Veterinary Clinic Name (required)

Veterinarian First Name (required)

Veterinarian Last Name (required)

Veterinarian Phone Number (required)

Is your dog spayed or neutered? (required)

YesNo

Does your dog have the following vaccinations?
(required)

Rabies(required)

Distemper

Parvovirus

Bordetella

leptospirosis

Is your dog micro-chipped? (if so input number; if not, leave blank)
(required)

Is your dog on flea or tick treatment? (required)

YesNo

Obedience

Does your dog

Sit (required)

YesNo

Stay (required)

YesNo

Come with reward (off leash)(required)

YesNo

Come without reward (off leash) (required)

YesNo

Fetch(required)

YesNo

Return(required)

YesNo

Walk with a slack leash(required)

YesNo

Walk abreast (off leash)(required)

YesNo

Walk abreast (off leash)(required)

Socialization (with dogs) - Please select:

Attends off-leash areas regularlyAttends or has attended doggy day-careHas attended puppy/dog socialization classes

Socialization (with people) - Please select:

Exposed to numerous people each dayFriendlyJumps upExcitable by strangersTimid of strangersThreatened by strangersNeutral to people

Can your dog react to certain people, situations, or places? Please describe (leash tangles, children, other dog breeds, the vet, being in a car, etc.) (required)

Is your dog possessive of food/balls/sticks/toys? (required)

YesNo

What is your dog's regular exercise routine?
(required)

30-Min walk per dayTwo 30-Min walks per day1-Hour walk per dayTwo 1-Hour walks per day or more

Does your dog have any allergies? (Please list)

Please list any health issues past/present/current that we should be aware of:

Please describe any other concerns, habits, temperaments, or considerations not addressed above?

When are you available for a free in-home consultation and brief walk?

9:00 a.m. - 12:00 p.m12:00 p.m. - 3:00 p.m3:00 p.m. - 6:00 p.m6:00 p.m. - 9:00 p.m

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