How did you hear about us?

Name

Email Address

Address

City, State, Zip Code

Home Phone

Cell Phone

Work Phone

Emergency Contact

Name & Relation

Home Phone

Cell Phone

Work Phone

Vet Information

Veterinarian

Vet's Phone

Dog Information

Dog's Name

Description

Spayed/Neutered?

How long have you owned your dog?

Where did you obtain your dog?

If adopted or rescued, do you have any knowledge of its past? (i.e. neglect or abusive home)

Does your dog have any pre-existing medical conditions injuries or allergies? (hip dysplasia, bloat surgery, etc.)

Is your dog on any medications? If yes, please list.

Does your dog have any physical limitations?

Has your dog ever attended daycare? Where?

Are there any types of people your dog automatically fears or dislikes? (men, uniforms, etc.)

Has your dog ever growled at or bitten another dog? if yes, what were the circumstances?

Is your dog sensitive about any parts of its body? (paws, tail, etc.)

Is your dog overly frightened or nervous about anything?

Is your dog possessive with food, toys or objects?

Is your dog crate trained?

What is your dogs training history? (Puppy Kindergarten, trained yourself, other)

Has your dog ever jumped a fence? What kind? How High?

Are there any other needs or issues you feel we should be aware of?

Why have you chosen doggie daycare?

How often do you envision bringing your dog to daycare? (Daily, 3x per week)

May we give your dog biscuits or treats during daycare?

Which services are your interested in? Daycare, Boarding and/or Grooming?

Are there any other services Puptown LLC could provide to you?

Vaccination Dates: (Please bring vet records with you on the first day)

Bordetella?

Distemper?

Rabies?

Flea/Heartworm?