Daycare Intake Form

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Daycare Intake Form

Thank you for your interest in Club Canine doggie daycare! Before we can schedule your pup's trial day, please fill in and submit the form below. We will be in touch to confirm availability and potential trial dates. If you have more than one pup please feel free to add your second dog's information in the text boxes.

Questions? Email (clubcaninedaycare@gmail.com) or text: (306) 981-6740

Email *

Owner Name: *

Telephone Number: *

Dog's Name: *

Dog's Breed (If known):

Dog's Age:

My dog is: *

Male

Female

Is your Dog Spayed/Neutered? *

Yes

Is your dog current on his or her vaccinations, including parvovirus, distemper, and rabies? (Exceptions may be made for puppies completing their vaccination series) *

Yes

Puppy (still completing vaccinations)

Has your dog attended Daycare before? If so, where?

Has your dog been in a serious altercation with another animal? If yes, please explain. *

Has your dog ever growled at, lunged at, or bitten a human? If yes, please provide details of the incident. *

Does your dog fear or dislike any types of dogs? If yes, please explain. *

Has your dog ever scaled a fence or escaped your yard? *

What is your pup's anticpated need for Daycare? (ie once a month, once a week, every day) *

Do you have a preferred date for a trial day? (Date requests are not guaranteed) *

Send me a copy of my responses.

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