"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

-- John Steinbeck

















































































































Day Care Enrollment Form




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


Pet's name:


Parent's names (list all parents):




City, State Zip:


Home Phone:


Work Phone:


Cell Phone:


Emergency Phone:


Email Address:


Date of birth (mm/dd/yyyy):




Breed: Color:


Medical History


Current Veterinary Clinic:




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?




Please describe any additional behaviors we should be aware of:





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