Human and Pet Information Name #1 *Phone Number *Email Address *Date of birthDaySelect day12345678910111213141516171819202122232425262728293031MonthSelect month123456789101112YearSelect Year212521242123212221212120211921182117211621152114211321122111211021092108210721062105210421032102210121002099209820972096209520942093209220912090208920882087208620852084208320822081208020792078207720762075207420732072207120702069206820672066206520642063206220612060205920582057205620552054205320522051205020492048204720462045204420432042204120402039203820372036203520342033203220312030202920282027202620252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925Name #2Phone NumberEmail AddressDate of BirthDaySelect day12345678910111213141516171819202122232425262728293031MonthSelect month123456789101112YearSelect Year212521242123212221212120211921182117211621152114211321122111211021092108210721062105210421032102210121002099209820972096209520942093209220912090208920882087208620852084208320822081208020792078207720762075207420732072207120702069206820672066206520642063206220612060205920582057205620552054205320522051205020492048204720462045204420432042204120402039203820372036203520342033203220312030202920282027202620252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925Name of emergency contact #1 *Phone number *Name of emergency contact #1Phone numberHow did you find me? *Please select an optionReferralGoogleYelp FacebookInstagramNextdoorNot sureOtherGive them a place to type an answerWhat services are you interested in? *Please select an optionSitting at your houseBoarding at Tiger’sDaycare at Tiger’sFamous dog hikesUrban dog walks leaving from your houseDaily visitsWill we have access to the house if you are not home? *Please select an optionYesNoHow will you provide access to your home?KeyCodeOtherDog Information Boarding and DaycarePet(s)Dog’s name that we are lucky enough to care for?Date of birth? *Please select an optionDate of birthNot sureDate of birthDaySelect day12345678910111213141516171819202122232425262728293031MonthSelect month123456789101112YearSelect Year212521242123212221212120211921182117211621152114211321122111211021092108210721062105210421032102210121002099209820972096209520942093209220912090208920882087208620852084208320822081208020792078207720762075207420732072207120702069206820672066206520642063206220612060205920582057205620552054205320522051205020492048204720462045204420432042204120402039203820372036203520342033203220312030202920282027202620252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925Dog’s age today? *Please select an option123456789101112131415161718192021222324Month *Please select an option123456789101112Year *Please select an option1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years19 Years20 Years21 Years22 Years23 Years24 YearsBreed?Gender? *Please select an optionMaleFemaleSpayed/neutered? *Please select an optionYesNoAre your vaccines up to date? *Please select an optionYesNoPlease select the vaccines your dog is current on. *Please select an optionRabiesDistemper (DHPP-distemper, hepatitis, parainfluenza, and parvovirus)Canine Influenza (H3N2 or H3N8)LeptospirosisBordetellaHas your dog shown symptoms or had any communicable illnesses within the last 30 days? *Please select an optionYesNoPlease share what communicable illness your dog has had.Can a person with average strength control your dog on leash in all conditions? *Please select an optionYesNoHas your dog harmed or threatened any person or domestic animal? *Please select an optionYesNoPlease describe what happened and the environment it happened in.Does your dog have experience with pack hiking or boarding?YesNoPlease describe pack experience and how your dog liked it.Does your dog have off-leash experience? *Please select an optionYesNoPlease describe when and how you have your dog off-leash.What do you use to walk your dog? *Please select an optionCollar OnlyBody HarnessNose harnessPinch ColarE-collarWhere did you find your dog? *Please select an optionBreederRescueFriendOtherDog’s age when you find each other? *Please select an option123456789101112131415161718192021222324Month *Please select an option123456789101112Year *Please select an option1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years19 Years20 Years21 Years22 Years23 Years24 YearsChipped? *Please select an optionYesNoPlease provide company and chip number.Veterinarian’s Company Name *Veterinarian’s Phone Number *Veterinarian’s City *Does your dog have allergies or medical conditions? *Please select an optionYesNoPlease list all allergies or medical conditions. *Does your dog take any medications? *Please select an optionYesNoMedications Name *Medications Dosage *Medication Times *Food Dependency *What is your dog’s daily exercise routine? *What is your dog’s daily poop routine? Please include time of day. *New CategoryDog Behaviors Tell me about your dog’s behaviors. Score your dog on a scale from 0 to 5, five being the highest.Door Dasher012345Don’t knowRuns Away012345Don’t knowEscape Artist012345Don’t knowJumps High Fences012345Don’t knowCarsick012345Don’t knowHouse Trained012345Don’t knowSocialized with Other Dogs012345Don’t knowCounter Surfer For Food012345Don’t knowCrate Trained012345Don’t knowAfraid of Loud Noises012345Don’t knowSeparation Anxiety012345Don’t knowBarks More Than Once012345Don’t knowUnderstands social cues of other dogs012345Don’t knowHigh Energy Level012345Don’t knowHeat Sensitive012345Don’t knowPrey Driven012345Don’t knowHerding Driven012345Don’t knowDominant012345Don’t knowMouthy or Nippy012345Don’t knowJumps on people012345Don’t knowOverly excitable012345Don’t knowDoes the excited pee pee dance012345Don’t knowPlays rough with other dogs012345Don’t knowPlays gentle with other dogs012345Don’t knowPesters other dogs to play012345Don’t knowDifferent CategoryMore Behaviors That Need ExplanationMy dog has anxiety. *Please select an optionYesNoWhere does your dog hide? *Please describe when your dog has anxiety and what your dog does (barks, whines, scratches at door, bites self or others)My dog chews things like shoes, toys, carpet, rugs. *Please select an optionYesNoPlease describeMy dog eats things that she should not eat like socks, underwear, paper products, rocks, sticks, rando food on the ground. *Please select an optionYesNoPlease describeMy dog is destructive in the house or car like furniture, base board, seat belts, seats, steering wheel. *Please select an optionYesNoPlease describeMy dog prefers not to play with other dogs? *Please select an optionYesNoMy dog prefers humans or dogs *Please select an optionHumansDogsAbout EqualMy dog care more about human’s desires or self-desires. *Please select an optionHumansSelfEqualMy dog is shy? *Please select an optionYesNoShy of what? *My dog is skittish? *Please select an optionYesNoSkittish of what? *My dog is fearful? *Please select an optionYesNoFearful of what? *New categoryAggressive behavior Don't worry, we don't judge you at all as a pet parent. We just need to know what's going on with your dog to see if she fits in the Pet Care by Tiger community. We are going to use a very conservative definition of aggression. A dog that shows threatening or harmful behavior such as growling, snapping, forcefully pinning a creator or biting. We realize some of these behaviors can be play, but for the safety of all creatures we need to talk about it.Please describe what happened and the environment it happened in. If you already answered this question just type see above. *Aggressive towards non-domestic animals *Please select an optionYesNoAggressive towards domestic animals *Please select an optionYesNoAggressive towards some dogs *Please select an optionYesNoAggressive towards all dogs *Please select an optionYesNoAggressive towards men *Please select an optionYesNoLeash Aggressive *Please select an optionYesNoFood protective *Please select an optionYesNoWater protective *Please select an optionYesNoToy protective *Please select an optionYesNoProperty protective *Please select an optionYesNoPerson protective *Please select an optionYesNoUnsure or aggressive towards children *Please select an optionYesNoUnsure or aggressive towards elderly or people behaving unusually *Please select an optionYesNoUnsure or aggressive towards people in general *Please select an optionYesNoWhile in the care of Pet Care by Tiger and subcontractors, I authorize my dog(s) to be *Please select an optionOff-leash on hikesTested off-leash on hikeOn-leash only on hikesUrban walks on-leash onlyPlaying in the fenced yard onlyNot sureDo you authorize Pet Care by Tiger to take your pet to the vet for care or call the vet for advice? *Please select an optionYesNoHuman/Owner Print NameHuman/Owner SignatureStart signing your signature hereYour browser does not support e-Signature field.DateSubmit