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Doggy Daycare Application Form
This form is required to be completed before your dogs first day of daycare. You must fill out 1 application per dog.
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* Required
Client Information
Owner Name: (Please include all owners in the household, ie. Spouse or significant other)
*
Your answer
Mailing Address (including box #)
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Your answer
Mobile Number: (Please include both numbers if multiple owners)
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Your answer
Home Number:
Your answer
Work Number:
Your answer
Email:
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Your answer
Best way to contact you during the day:
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Mobile Phone
Work Phone:
Email:
Other:
Emergency Contact Person: (Someone who is not the dogs owner)
*
Your answer
Emergency Contact Phone Number:
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Your answer
Alternate Emergency Contact (Name & Number):
Your answer
How did you hear about us? (If a person, please let us know who to thank!)
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Your answer
Would you like to receive our Newsletter?
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Yes
No
Pet's Information
Pet's Name:
*
Your answer
Pet's Birthday:
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MM
/
DD
/
YYYY
Sex:
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Male
Female
Is your dog spayed/neutered? (Please note all dogs over 1 year must be fixed in order to come to daycare)
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Yes
No
Too Young, will be fixed at appropriate age
Breed:
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Your answer
Veterinary Clinic:
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Your answer
Dog's Personality
How long have you owned your dog?
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Your answer
Where did you get your dog?
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Your answer
Has your dog played/interacted with:
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Large Dogs
Small Dogs
Cats
Required
Which of the following best describes your dog’s level socialization with other dogs
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None - No knowledge of other dog interactions
Minimal - On leash encounters only
Moderate - Some off leash play with on occasion with visitors/friends/neighbours dog
Extensive - Regular visits to dog social events, off leash dog parks, dog daycare etc.
Has your dog had any problems previously in an off-leash social environment? Select all that apply:
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No
Yes - Altercation or fight at a public dog park
Yes - Altercation or fight with a neighbor or friend’s dog
Yes - Fearful reaction in a group of dogs
Yes - Dismissed from a prior dog daycare or social playgroup program
Required
Please describe if any concerns mentioned above?
Your answer
Has your dog attended daycare somewhere else?
*
Yes
No
If Yes - Where?
Your answer
Has your dog been to a dog parks?
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Yes
No
If Yes - Where?
Your answer
Does your dog have formal obedience training?
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Yes
No
If Yes - Where?
Your answer
Is your dog housebroken?
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Yes
No
What cue do you use to ask your dog to relieve him/herself?
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Your answer
Has your dog ever bitten another dog?
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Yes
No
If yes, what were the circumstances? Please give as much detail as possible.
Your answer
Has your dog ever bitten a human?
*
Yes
No
If yes, what were the circumstances? Please give as much detail as possible.
Your answer
Has your dog ever dug under, climbed or jumped a fence?
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Yes
No
If yes, what were the circumstances?
Your answer
Does your dog have any areas on the body that he/she doesn’t like petted?
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Yes
No
If yes, please explain:
Your answer
Are there any breeds of dogs that your dog fears or dislikes?
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Yes
No
If yes, please explain:
Your answer
Is there anything your dog is particularly afraid of?
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Your answer
Will your dog let you take his/her food away while eating?
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Yes
No
Has your dog shared toys/food with other dogs?
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Yes
No
Have you used baby gates, crate or other means of confinement?
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Please note: Your dog must be comfortable in a crate to attend our daycare.
Yes
No
How does your dog react to them (loves his crate, fine, whines, hates it, etc)?
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Your answer
What do you think your dog does while you are away?
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Your answer
Is there anything else we should know about your dog?
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Your answer
Dog's Medical Information
Please provide details on your dog's diet: What type of diet is your dog fed? (Kibble, dehydrated, raw)
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Your answer
What brand of food is your dog fed? (Performatrin, Purina, Royal Canin etc)
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Your answer
What is the primary protein source? (Chicken, Lamb etc)
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Your answer
How often do you feed your dog? (once a day, twice a day etc)
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Your answer
Any Current or Ongoing Medical Conditions?
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Yes
No
If yes, please explain
Your answer
Is your dog taking any medications?
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Yes
No
If yes, which ones?
Your answer
Will we need to give medication?
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Yes
No
What Type of Flea Prevention is your dog on: (please note your dog must be on flea prevention during the summer months and we recommend yearly)
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Your answer
Does your dog have any allergies or food sensitivities?
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Your answer
May we feed your dog treats?
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Yes
No
Is it OK for us to take photos of your dog that might be posted on our website, Facebook, other social media or promotional material?
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Yes
No
Do you have any peanut allergies in the household? We regularly use peanut butter to stuff kongs.
*
Yes
No
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