Dog's Name

Dog's age.

Breed

Email

Address

Regular Vet/Orthopedic Vet

Regular/Orthopedic Vet Phone

Kindly list any other Surgeries or other Medical Conditions.

Please list any medications that you give your dog.

How are you hoping that your dog will benefit from the swim session?

Please describe your dog’s relationship with water/bathing/swimming.

Does your dog enjoy swimming after toys?

Please describe any emotional components (or anxiety issues) of your canine friend that you would like me to be aware of so that I can better honor his/her boundaries and help him/her to be as comfortable and confident as possible during our sessions together.

Please list methods, if any, that you use for flea control on your pet and at home.

Preferred Day/Times that will work for you and your pup.

Let’s learn a bit more about your furry friend!

LOCATION

HOURS