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Tell us about your dog…

General Information: I'm interested in

Dog’s Name Breed

Spayed / Neutered? Birth Date

**Dogs over 7 months of age MUST be spayed or neutered to attend the daycare play groups.

Owner’s Name(s)

Address City Zip

Home Phone Work Ph Cell Ph

Email Address (We will not supply your address to others.)

Is it OK to email you with periodic newsletters, coupons & photos to you?

Emergency Contacts (who are authorized to pick up dog)

1. Name

Phone #’s

Address

2. Name

Phone #'s

Address

How did you hear about Dog Days daycare?

Referred by a current client? If so, who?

Vaccination / Medical History:

Vet Clinic

Other Vet than listed above:

City:

Phone:

Yearly Heartworm Test given?

Flea and Tick Medication used? If yes, what brand of preventative?

List any known allergies

Describe any health/medical issues we need to be aware of (i.e. hip problems, seizures, etc)

Does your dog take any medications?

If yes, for what?

Dog Profile:

How long has your dog been in your family?

If adopted or rescued within the past 6 months, do you have any knowledge of your dog’s past history?

On average, how many hours per day is your dog currently home alone?

Rate your dog’s energy level ---

“1” being very mellow and “10” being very excitable & somewhat ‘wild & crazy’

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

If yes, would you say he/she plays nicely?

Comments:

Does your dog go to an off-leash park?

If yes, how does he/she behave?

Has your dog had any obedience training? If yes, to what level and name of Trainer/School?

Is your dog comfortable with having his/her collar used to lead?

Does your dog bark a lot?

If yes, please list any special commands to stop the barking

Is your dog fearful of storms? If yes, what do you recommend we do to best comfort him/her?

Is your dog frightened by anything else? Any noises? If yes, explain:

Has your dog ever climbed or jumped a fence?

If yes, height of fence

Has your dog ever growled or snapped at anyone who’s touched his/her bones or food?

Has your dog ever growled or snapped at anyone who’s touched his/her toys?

Will your dog nicely share toys with other dogs?

Does your dog automatically dislike any kind of dog? (i.e. tails curled up over back; small dogs;

certain breed; etc) If yes, what types?

How does your dog react to puppies?

How does your dog react to strange people?

Does your dog automatically dislike or respond negatively to any type of person? (i.e. men with beards; children; etc)

If yes, what types?

Has your dog ever bitten a human?

Has your dog ever bitten another animal?

If yes to either question abobve, explain circumstances:

Does your dog use a crate at home?

If answered "no", does your dog have any known severe anxieties or fears of a crate?

If "yes", please explain: (only daycare dogs are crated during the 2 hr naptime; overnight

boarding dogs go into their suites during naptime)

Does your dog exhibit any of these behaviors?

Excessive barking

Mouthiness (play biting humans)

Eating stool Pulling on leash while walking

Jumping on people

Doesn't come when called

Aggressive on leash (lounges and/or snarls at dogs when on leash)

We work with certified dog trainers who may be able to help you with behavior issues or questions.

Are you interested in having one of the trainers contact you?

Thank you for telling us about your dog! Your next steps to becoming a client are:

1. Review & submit the Client Agreement (found on our website next to this form)

2. Ask your vet clinic to fax your dog's vaccination records to us at 651-642-9664.

3. Call us to set up an "evaluation day" for your dog.

4. Call us to reserve overnight dates, if looking for overnight care.

Please click to send us this form.

Dog Days 2120 Myrtle Ave, St Paul 651.642.9663 1752 Grand Ave, St Paul 651.699-3905 www.dogdaysinc.com

dog daycare - overnight care - training - grooming