New Client ApplicationPlease complete this form to get the process started! *note: our regular service area includes the City of Boulder only.Please enable JavaScript in your browser to complete this form.Client InfoName *FirstLastEmail *Phone number *Address *How did you hear about us?What is your preferred start date of services? *ServicesPlease check the services you are interested inOff Leash AdventuresType of AdventureTownMountainBothUndecidedAdventure FrequencyWeeklyOccasionallyOne time onlyFrequency ContinuedIf regular, what are your preferred days of the week. If occasionally, list frequency. If one time only, list dates. Preferred pickup timeMorningAfternoonNo Preference UndecidedLeash Walk/Pet VisitsWalk/Visit Length30 Minutes60 MinutesWalk/Visit FrequencyWeeklyOccasionallyOne Time OnlyFrequency ContinuedIf weekly, preferred day(s) of the week. If occasionally, list frequency. If one time only, list specific date(s).Time(s) of DayPet InfoIf you have multiple pets please submit this form a separate time for each pet.Pet's Name *Breed *DOB (if known) *mm/dd/yyyyWhen did you acquire your pet? *mm/dd/yyyyType of pet *DogCatOtherSex *MaleFemaleSpayed/Neutered *YesNoWeight *Color(s) *Age *FirstLastDate of most current Rabies vaccination *mm/dd/yyyyDate of most current Distemper/Combo vaccination *mm/dd/yyyy or N/A if Not ApplicableVeterinarian clinic name/address/phone *Brief description of your pet's history from birth to present *Please describe any health issue, special needs, allergies, medication, etc. *Please describe any past or current behavioral issues, fears, anxieties, etc. *For Dogs OnlyHas your dog ever acted aggressively towards humans?YesNoHuman aggression explanationHas your dog ever acted aggressively towards other dogs?YesNoDog aggression explanationDoes your dog have a valid City of Boulder Voice and Sight Tag?YesNoIs your dog inclined to chase wildlife, or anything else?YesNoWhat animals are chasedHow would you rate your dog's recall skills? (using treats or other training tools) *N/ANearly Perfect75%50%PoorPlease describe your dog's current exercise routine:Please use this space to tell us anything else we should know about your pet, or more details about what you're looking for in our service.Submit
