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- Facility
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Contact
Home
Registration Form
Daycare Application Form
Date of First Visit (Bookings are required)
Guardian Information
Guardian Name
Address
City
State/Province/Region
Postal Code
Country
Home Phone
Work
Cell
Email
Emergency Contact
Name
Home Phone
Work
Cell
Pet Information
Dogs Name
Breed
DOB/Age
Sex
Male
Female
Spayed/Neutered
Yes
No
Dog 2
Dogs Name
Breed
DOB/Age
Sex
Male
Female
Spayed/Neutered
Yes
No
Others authorized to pick up your dog
(Please note: You dog will not be released to any person not listed below).
Full Name
Full Name
Veterinarian Information
Veterinarian's Name
Address
City
State/Province/Region
Postal Code
Country
Phone
Medications
Is your dog up to date on vaccinations?
Yes
No
Is there any Medical Condition currently being treated?
Name of Medication
Dosage
# times per day
Administered With or Without Food?
General Information
Where did you get your dog?
How old was your dog when you got him/her?
Has your dog ever attended daycare before?
Yes
No
Has your dog attended training classes?
Yes
No
If so which courses.
What commands does your dog understand?
Is your dog house trained?
Yes
No
Is your dog crate trained?
Yes
No
Does your dog growl, bark, snarl, snap, or lunge at other dogs?
Yes
No
If Yes Explain
Does your dog dig?
Yes
No
Does your dog eat rocks?
Yes
No
Does your dog exhibit coprophagia (eating feces)?
Yes
No
Does your dog jump on people?
Yes
No
Does your dog bark often?
Yes
No
Has your dog shown any destructive behaviour when you are not home?
Yes
No
Has your dog ever jumped or climbed a fence?
Yes
No
If so how high was the fence
Has your dog been in a fight with another dog?
Yes
No
Does your dog exhibit prey drive?
Yes
No
What is your dog’s energy level (1 being low – 10 being high)
1
2
3
4
5
6
7
8
9
10
Overall, does your dog get along with other dogs?
Yes
No
If no explain
Is there certain types of dogs your dog dislikes?
Yes
No
If so please explain
Has your dog ever displayed aggression towards a person?
Yes
No
If yes please explain
Does your dog have any sensitive areas on his/her body that he/she does not like touched?
Yes
No
If yes please explain
Are you able to remove objects from your dog’s mouth?
Yes
No
Are there any type of dogs/people your dog fears or dislikes?
Yes
No
If yes please explain
Do you consent to your dog participating in Centre Activities?
(Included in your Dog’s Daycare Day at no additional cost)
Water play
Yes
No
(I understand my dog may come home a little damp, although we will endeavour to dry off your pooch before home time)
Agility activities
Yes
No
How did you hear about us?
Other comments or information about your dog that you feel might be helpful
Verification
Please enter any two digits with no spaces (Example: 12)
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