START WITH OLLIE & BEARSend us your info! HUMAN INFORMATION Name * First Name Last Name Phone * To call you and send text alerts (###) ### #### Email Address * Your Address * Where the dog will be picked up Address 1 Address 2 City State/Province Zip/Postal Code Country Secondary guardian First Name Last Name Secondary Phone (###) ### #### Secondary Email Address Secondary Address Additional pickup location Address 1 Address 2 City State/Province Zip/Postal Code Country DOG INFORMATION Doggie Name, Age, Size, Breed Spayed/Neutered? Yes No Tell us a little your pooch, how long have you had him/her? BEHAVIOR HISTORY In general, my dog around other dogs is.... * Friendly, engaging politely Friendly, but a tad too excited Bananas! I live with dog Tarzan Neutral Disinterested Nervous Terrified Not nice Care to elaborate? What cues or commands does your pet know? Sit, stay, come, let's go, bacon, toy? HEALTH Is your pet on a flea and tick preventative? Yes No Is your pet up-to-date on all shots including rabies? * Yes No Does pet have any ongoing health issues, have allergies, or on any medication we need to know about? Yes No Preferred Vet & Clinic * Vet Phone (###) ### #### Vet Address Address 1 Address 2 City State/Province Zip/Postal Code Country SERVICES My dog would like to go on ... Adventures: 2 days per week 3 days per week 4 days per week 5 days per week Days that I would prefer are: Monday Tuesday Wednesday Thursday Friday Other services: Boarding Dog & Puppy Training Feeding raw diet How did you hear about us? Google Referral Social Media Yelp Other Thank you! Talk to you soon, Ruff!