Form | Dog Info Form

Dog Information

Owner’s Name *

E-Mail *

Dog Name *

Dog Age *

Dog Breed *

Weight (lbs) *

M/F *

Spayed/Neutered *
YesNo'
Vet Preference

Vet Phone #

Is your dog current on his/her Bordetella vaccination. *
YesNo'
Is your dog micro-chipped *
YesNo'
Chip #

Registry company

Is your dog licensed? *
YesNo'
Is the license current? *
YesNo'
If your primary residence is not Lake Tahoe, do you currently give your dog flea/tick control medication? *
YesNo'
Name of flea/tick control medication

Have you recently seen any fleas/ticks on your dog? *
YesNo'

Dog History/Behavior Profile

How long have you had your dog? *

Is your dog a rescue? *
YesNo'
Has your dog ever bitten a person/dog that you are aware of? *
YesNo'
What is the average daily exercise routine for your dog? *

How is your dog around children and strangers? *

Any Specific fears(males,hats,bicycles,longhair)? *

How does your dog get along around other new dogs? *

Does your dog enjoy or prefer not to make new dog friends during his outings? *

Does your dog have any issues being on leash with strange dogs approaching off-leash? *

Is your dog acclimated to car travel? *
YesNo'
Is your dog acclimated to car travel with other dogs? *
YesNo'
Prefer to be crated during travel? *
YesNo'
Will your dog come when called? *
YesNo'
Any specific method or "call" TDA should be aware of?

Has your dog had any obedience training? *
YesNo'

How would you describe your dog’s behavior off-leash? *

Does your dog enjoy playing with other dogs in a group while off-leash? *

Is there anything TDA should be aware of when walking/hiking/caring for your dog?

( * ) indicates a required field.