New Client Intake Form — Alderwood Pet Adventures

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Welcome! Let's get started. This form takes about 8–10 minutes to complete. All information is kept confidential and is used solely to provide the best care for your pet. Fields marked * are required.

Owner Information

Owner Name *

Today's Date

Street Address

City / Zip

Primary Phone *

Secondary Phone

Email Address *

Referred by

Rover / Platform Username

Emergency Contact

Name *

Relationship

Phone *

Authorized to make care decisions?

Veterinarian / Clinic Name *

Clinic Phone *

Clinic Address

Pet Profile

Dog's Name *

Nickname(s)

Breed

Age

Weight (approx.)

Color / Markings

Spayed / Neutered?

Microchipped?

Sex

Male Female

Microchip # (if applicable)

Step 1 of 5

Food & Treats

Food brand / type

Portion size

Feeding schedule

Morning time

Evening time

Approved treats

Brands or types your dog enjoys

Foods / treats to AVOID

Allergies, sensitivities, or owner preference

Water access

Always available Controlled portions Specific times

Special dietary notes

Step 2 of 5

Step 3 of 5

Training & Commands

Commands your dog knows reliably

sit, stay, leave it, place, down, come, etc.

Commands in progress / needs reinforcement

Cue word(s) for potty

e.g. "go potty", "outside", "business"

Training method used at home

Anything walker should continue reinforcing

Behaviors you are actively working to improve

Jumping, pulling, barking, resource guarding, etc.

Home Routine & Environment

Typical wake-up time

Bedtime

Where does dog sleep

Bed, crate, couch, floor, etc.

Crate trained?

Yes — loves it Yes — tolerates In progress No

Access areas in home

Which rooms are allowed / off-limits

Potty schedule

Free access outside Scheduled trips Bell trained Pee pad trained

Last potty before walker arrives

Expected next potty

Other pets in home

Names, species, any dynamics to know

Step 4 of 5

Health & Medical Notes

Known allergies

Food, environmental, flea prevention, etc.

Current medications

Name, dose, frequency

Medication administration instructions

Physical limitations / recent injuries

Up to date on vaccines?

Yes Partial No Unknown

Last flea / tick prevention applied

Any other health notes walker should know

Special Instructions & Requests

Instructions specific to your pet

Quirks, preferences, rituals that help them feel at ease

Instructions for your home

Entry/exit code, where supplies are kept, alarm info — you can share sensitive details directly at the meet & greet

Any concerns or questions for your walker

Authorization & Submission

By submitting this form, I confirm the information provided is accurate to the best of my knowledge and authorize Alderwood Pet Adventures to provide care for my pet as discussed during our meet & greet. I understand that all information will be kept confidential.

Full Name (typed signature) *

Today's Date *

Step 5 of 5

Owner Information

Emergency Contact

Pet Profile

Food & Treats

Exercise & Walk Style

Play Style & Enrichment

Personality & Behavior

Training & Commands

Home Routine & Environment

Transportation (if applicable)

Health & Medical Notes

Special Instructions & Requests

Authorization & Submission

Thank you!