Intake Form | Vancity Pack Pups

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Pack Intake Form

Please complete the form to apply for a spot in our pack

We know.. it's kind of long and tedious, but safety is something we don't compromise on!

First name*

Last name*

Email*

Phone*

Address*

How will we enter your home? (Key, Fob, You'll be home)*

Emergency Contact*

Authorized to make decisions

Not authorized to make decisions

Pups Birthday (if known)

Year

Month

Day

Pup's Name*

Sex:

Female

Male

Spayed

Neutered

Microchip

City Of Vancouver License #*

Veterinary Contact information*

Is Vancity Pack pups & their Pack Leaders authorized to seek veterinary treatment of you cannot be reaached?*

Yes

No

Up to date on vaccinations?

Up to Date on Flea/Tick prevention?

Does your pup have any medical conditions? (Please explain)

Does your pup have allergies? If so, please explain

Please describe your pup's personality/temperament *

Has your pup ever:

Bitten a person?

Bitten another dog?

If you checked yes to either of the above, please explain

I allow my dog to be off-leash (in designated areas)

My Pup must be kept on a long lead (at all times)

What are your goals for your Pup?

Exercise

Socialization

Confidence Building

Enrichment

Weight Management

Mental Stimulation

I certify that the information provided is accurate and complete. I agree to notify Vancity Pack Pups of any changes to my dog's health, behaviour, or anything else relevant.

Signature*

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Date*

Year

Month

Day

Need to chat to the pack leader?

Vancitypackpups@gmail.com
778-231-6749

Servicing Vancouver, BC

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Pack Intake Form

Vancitypackpups@gmail.com 778-231-6749

Vancitypackpups@gmail.com
778-231-6749