Ollie & Bear Dog Professionals

Name *

First Name

Last Name

Phone *

To call you and send text alerts

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Your Address *

Where the dog will be picked up

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Secondary guardian

First Name

Last Name

Secondary Phone

(###)

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Secondary Address

Additional pickup location

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Spayed/Neutered?

Yes

No

In general, my dog around other dogs is.... *

Friendly, engaging politely

Friendly, but a tad too excited

Bananas! I live with dog Tarzan

Neutral

Disinterested

Nervous

Terrified

Not nice

Is your pet on a flea and tick preventative?

Yes

No

Is your pet up-to-date on all shots including rabies? *

Yes

No

Does pet have any ongoing health issues, have allergies, or on any medication we need to know about?

Yes

No

Vet Phone

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Vet Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Adventures:

2 days per week

3 days per week

4 days per week

5 days per week

Days that I would prefer are:

Monday

Tuesday

Wednesday

Thursday

Friday

Other services:

Boarding

Dog & Puppy Training

Feeding raw diet