"I've seen a look in dogs' eyes, a quickly vanishing look of amazed contempt, and I am convinced that basically dogs think humans are

nuts."
-- John Steinbeck

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

 

Day Care Enrollment Form

 

 

 

Today's date (mm/dd/yyyy):

 

Pet's name:

 

Parent's names (list all parents):

 

Address:

 

City, State Zip:

 

Home Phone:

 

Work Phone:

 

Cell Phone:

 

Emergency Phone:

 

Email Address:

 

Date of birth (mm/dd/yyyy):

 

Sex:

 

Breed: Color:

 

Medical History

 

Current Veterinary Clinic:

 

Neutered/Spayed:

 

Any known medications or allergies?

 

Please describe any medical or health issues we need to be aware of (ex: seizures, heart problems, joint problems...)

 

Microchip number and brand:

 

Heartworm test due:

 

Monthly Heartworm Preventative due:

 

Do you use any flea or tick preventative?

 

If Yes, what product:

 

Dog Profile

 

How long has your dog been in the family:

 

Where did you get the dog from?

 

If adopted, do you know the history?

 

How many people are in your family?

 

Men Women

 

Kids Ages:

 

Has your dog had any obedience training?

 

What level?

 

Do you use a crate?

 

Is the dog comfortable in a crate?

 

Is your dog comfortable being handled and touched?

 

Has your dog ever climbed or jumped a fence?

 

Has your dog ever shown any signs of aggression towards anyone who's tried to touch his/her bone, food, or toys?

 

Does your dog play with other dogs on a regular basis?

 

 

If no, why are you interested in having your dog be part of a daycare program now?

 

Which of the following does your dog prefer?

2.

3.

 

Please describe any additional behaviors we should be aware of:

 

Signature:

 



 

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