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.
Client Information
Owner Name: (Please include all owners in the household, ie. Spouse or significant other) *
Your answer
Mailing Address (including box #) *
Your answer
Mobile Number: (Please include both numbers if multiple owners) *
Your answer
Home Number:
Your answer
Work Number:
Your answer
Email: *
Your answer
Best way to contact you during the day: *
Emergency Contact Person: (Someone who is not the dogs owner) *
Your answer
Emergency Contact Phone Number: *
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!) *
Your answer
Would you like to receive our Newsletter? *
Pet's Information
Pet's Name: *
Your answer
Pet's Birthday: *
MM
/
DD
/
YYYY
Sex: *
Is your dog spayed/neutered? (Please note all dogs over 1 year must be fixed in order to come to daycare) *
Breed: *
Your answer
Veterinary Clinic: *
Your answer
Dog's Personality
How long have you owned your dog? *
Your answer
Where did you get your dog? *
Your answer
Has your dog played/interacted with: *
Required
Any concerns with: *
Required
Please describe if any concerns?
Your answer
Has your dog attended daycare somewhere else? *
If Yes - Where?
Your answer
Has your dog been to a dog parks? *
If Yes - Where?
Your answer
Does your dog have formal obedience training? *
If Yes - Where?
Your answer
Is your dog housebroken? *
What cue do you use to ask your dog to relieve him/herself? *
Your answer
Has your dog ever bitten another dog? *
If yes, what were the circumstances? Please give as much detail as possible.
Your answer
Has your dog ever bitten a human? *
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? *
If yes, what were the circumstances?
Your answer
Does your dog have any areas on the body that he/she doesn’t like petted? *
If yes, please explain:
Your answer
Are there any breeds of dogs that your dog fears or dislikes? *
If yes, please explain:
Your answer
Is there anything your dog is particularly afraid of? *
Your answer
Will your dog let you take his/her food away while eating? *
Has your dog shared toys/food with other dogs? *
Have you used baby gates, crate or other means of confinement? *
How does your dog react to them (loves his crate, fine, whines, hates it, etc)? *
Your answer
What do you think your dog does while you are away? *
Your answer
Is there anything else we should know about your dog? *
Your answer
Dog's Medical Information
Any Current or Ongoing Medical Conditions? *
If yes, please explain
Your answer
Is your dog taking any medications? *
If yes, which ones?
Your answer
Will we need to give medication? *
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) *
Your answer
Does your dog have any allergies or food sensitivities? *
Your answer
May we feed your dog treats? *
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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