Quality Retrievers for Hunting & Family
+1 228-493-7474
acesretrievers@gmail.com
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Client Intake Form
Please provide detailed information about you and your dog
Client Information
Client Name *
Email *
Phone *
State *
City *
Date of Drop off *
Time of Drop off *
Dog Information
Dog Name *
Date of Birth *
Breed *
Weight (lbs) *
Current Shot Record *
Click to upload shot record
PDF, JPG, or PNG
Client Notes
Flea/Tick Medication
How many are you leaving?
Due Date
Heartworm
Included in Flea/Tick Pill
How many are you leaving?
Due Date
Dog Food (Required) *
Dog Food Type *
Upload Bag Picture *
Click to upload food bag picture
JPG or PNG
How much are you leaving? *
Kennel provided food at $50/month
Other Medications
Training Programs
Select all that apply
Obedience
Obedience with a fun retrieve
Blood trail/Tracking
Therapy dog
Beginner Gun dog
Advanced Gun dog
Shed Hunting
Custom
About Your Dog
Human Aggression:
5/10
1 - Very Friendly
10 - Aggressive
Dog-on-Dog Aggression:
5/10
1 - Very Friendly
10 - Aggressive
Health
Ear infections
Skin issues
Sores/hairloss
Weight
Underweight
Normal
Overweight
Eating Times
AM
PM
Eating Habits
Slow
Normal
Fast
E-Collar Experience
No
Yes
Do you consider your dog to be nervous/skittish?
Please describe your dog and the training you would like
Submit Client Form