Doggie Daycare Application
Please complete the following application. This will help us get to know you and your pup as well as his/her history and needs.
Your Name *
Your answer
Email *
Your answer
Address including your city *
Your answer
Phone Number *
Your answer
Dog's Name *
Your answer
Dog's Age or DOB *
Your answer
Breed/Color *
Your answer
Weight *
Your answer
Has your dog been spayed or neutered? *
How did you hear about us?
Medical/Health History
Your Primary Veterinarian *
Please include Clinic Name, Doctor's Name, Location and Phone Number
Your answer
Which type of flea/tick preventative treatment and last date of application. *
Your answer
Please list any medications or supplements your dog takes regularly. *
If none, please enter NONE below.
Your answer
Please select any and all health/medical concerns your dog has had *
Required
If you checked any boxes above, please provide further details.
Your answer
Is your dog microchipped? *
Your Dog's Background
How long have you had your dog? *
Your answer
Where did you get your dog? *
Rescue, shelter, breeder or friend/family?
Your answer
Have you and your dog taken any obedience and training programs? *
Name of trainer/program, location and when? If none, please enter NONE below.
Your answer
Has your dog attended doggie daycare before? *
If yes, where? And how long and how often?
Your answer
What type and brand of food do you feed at home? *
Your answer
How much per feeding and how often a day? *
Your answer
What treats do you give your dog? *
Your answer
Your Dog's Personality Profile
This section will helps us understand your dog's behavior and personality. This information will help us keep your pup safe and happy. Please be open and honest about your dog's behaviors. We know there is no bad dog, just behaviors that need managing.

Please tell us if you have noticed any of the following from your dog.

Does your dog have a reaction towards puppies? *
How does your dog greet another dog? *
Required
Does your dog guard toys, food or water bowl *
Does your dog guard people? *
Adversion to being touched or handled on or around the head, neck, ears or mouth? *
Adversion to being held or picked up *
Anxiety *
Reactivity towards other animals *
This includes dogs, cats, squirrels, birds etc.
Required
Reactivity towards people *
Required
If reactive towards people, where does this happen? *
Required
Has your dog ever been attacked or harmed by another dog? *
Has your dog ever been attacked, abused or harmed by a human? *
Has your dog ever attacked or bitten? *
If you answered yes above, please explain the situation. *
If none, please enter NONE.
Your answer
Climbing or jumping *
Required
Digging/Scratching *
Required
Trying to escape/push through doors *
Slips out of leash, collar or harness *
Pulling or lunging on leash *
Required
Reactivity towards triggers while out on walks *
Required
Excessive barking, howling or crying *
Chewing *
If chewing is a concern, what do they chew?
List and describe any other behaviors that we should know.
Your answer
Thanks for submitting your application!
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