ApplicationPlease complete the below form before submitting your first booking request.If you would prefer to print the application, click here to download and then return by email or fax. Owner's Information Owner's Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Cell/Primary Phone * (###) ### #### Secondary Phone (###) ### #### Emergency Contact Name First Name Last Name Phone (###) ### #### Dog's Information Name First Name Last Name Gender Male Female Breed Age Birthdate MM DD YYYY Microchip # Company Phone (###) ### #### Veterinary Clinic Phone (###) ### #### Veterinarians's Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Current Vaccinations Please have your vet send these to us by e-mail or fax Dog's History Age your dog was neutered/spayed Allergies Special Instructions/Restrictions Medical History Special Instructions/Restrictions How long have you had your dog? Where did you get your dog? If adopted/rescued, do you have any back history? What other types of pets do you have? How does your dog interact with other dogs and/or children in the home? How does your dog react with visitors in the home? Are there any types of dogs that your dog fears? Are there any type of people that your dog fears ? (Gender, Behavior, Clothing, Hats)? Has your dog ever growled, snapped, bitten a person or another dog? Does your dog growl or become aggressive around food and or toys? Does your dog share well with others ? (Food, toys, beds, etc)? Has your dog ever been in daycare ? (Where and When) In obedience training? (Type, where and when) Does your dog go to an off leash park? Any behaviors we should be aware of? Can your dog climb or jump a fence? Yesd No Any issues we need to know about your dog? Aggression Chews Excessive Barking Digs Separation Anxiety Jumper (gates) Possessive Eats Stool Noises Shy If Yes, how high? Is there anything else we need to know Can your dog have biscuits Yes No Where is your dog’s favorite place to be petted? Does your dog know any tricks? Anything you would like us to help you with? (Basic commands, housebreaking, etc) How did you hear about Doc’s Doggie Daycare? Your Name * Please enter your name to formally sign this application. Today's Date * MM DD YYYY Thank you!
