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Perfect 10 Boarding LLC
Perfect 10 Boarding LLC serving the southern Wisconsin area
Please fill out one questionnaire per dog. You can also download our form and print.
General Dog & Owner Information
One dog per questionnaire
Nickname pet responds to:
(If no, private play time is required)
Where did you obtain your pet from? Is it a rescue?
How long have you owned your pet?
Vet phone number
Owner's phone number(s)
Emergency contact phone number
How did you hear about Perfect 10 Boarding?
Feeding, Medications, & Health History
Amount fed at each meal
Other feeding instructions:
List any medications your pet will need
How should these medications be administered? How often?
Has this dog ever been diagnosed or treated for any of the following by a veterinarian? (Check all that apply)
Chronic eye/ear infections
Play Yard Questions
I’m requesting (check one):
Group play time
Private play time
Rate your dog's energy level between 1 (low) and 5 (high)
Please enter a number from
Does your dog have any activity restrictions/injuries we should be aware of? If so, please explain.
How often is your dog socialized outside your home?
Has your dog ever shown aggressive behavior towards other dogs or people? If so please explain.
Behavior issues – triggers aggressive, fearful, out of control responses. Check all that apply.
Being picked up
Dogs in general or particular type
If "Other," please explain
Fixations/Obsessions/Phobias (Check all that apply)
If "Other," please explain
Can your dog jump a 6ft fence?
Please list any more information that you think we should know about your dog to provide the best care possible (fears, likes, dislikes).
Can we use videos and/or photos of your pet taken at Perfect 10 Boarding for future marketing?
Please submit a new questionnaire if any of the above information changes.
Pets are required to have updated rabies, distemper and bordatella records on file at Perfect 10 Boarding, LLC. Flea and tick guard is highly recommended. Please have records sent PRIOR to check in.
Please be aware that your dog’s stay at Perfect 10 Boarding, LLC is not without risk. Every effort will be made by our staff to provide a safe environment for your dog. Should your dog require medical attention, we will contact you immediately at the number above and transport your dog to a veterinarian.
You are responsible for any damages or injury incurred during your dog’s stay. Vet charges due to your dog or injury to another dog, caused by your dog, will be the responsibility of you and/or the owner of the dog.
By clicking the submit button, I agree to the above, accept full responsibility for the acts of my dog while at Perfect 10 Boarding, LLC and release them from any and all claims of liability.
This field is for validation purposes and should be left unchanged.
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