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 (s):
Your answer
Address (including box #)
Your answer
Mobile Number:
Your answer
Home Number:
Your answer
Work Number:
Your answer
Email:
Your answer
Best way to contact you during the day:
Emergency Contact Person:
Your answer
Emergency Contact Phone Number:
Your answer
Alternate Emergency Contact (Name & Number):
Your answer
How did you hear about us?
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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