Pawaradise
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Intake Form
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Intake Form
Fields marked with
*
are required.
Owner Information
Full Name
*
Contact Number(s)
*
Email
*
Emergency Contact (Name & Number)
*
Dog Information
Dog’s Name
*
Breed
*
Age
Sex
*
Select
Male
Female
Spayed/Neutered
*
Select
Yes
No
Microchip Number
Colour/Markings
Health & Veterinary Information
Veterinary Clinic
Vet Contact Number
Last Vaccination Date
*
Tick/Flea Prevention Used
Any Allergies?
*
No
Yes
If yes, specify
Medical Conditions or Past Injuries
Medication Required?
*
No
Yes
If yes, list
Behaviour & Temperament
How does your dog behave around other dogs?
*
Select
Friendly
Shy
Selective
Aggressive
Unsure
How does your dog behave around people?
*
Select
Friendly
Shy
Protective
Aggressive
Unsure
Any triggers we should know about (e.g., loud noises, toys, food)
Has your dog ever bitten another dog or person?
*
Select
No
Yes
If yes, please explain
Feeding & Care Instructions
Feeding Times
Type of Food
Amount per Meal
Treats Allowed?
*
Select
No
Yes
If yes, preferred treats
Walking Preferences
Short
Medium
Long
Special Care Notes
Booking Request
Preferred date & time
*
Choose your preferred drop-off time. We will confirm availability by email.
Authorisations & Agreements
I authorise Pawaradise to seek veterinary care in case of emergency.
I confirm that my dog is up to date on all required vaccinations.
I understand that while every care is taken, Pawaradise is not liable for injury, illness, or loss.
Please tick all three boxes to proceed.
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