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"Where every dog is a Top Dog"
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DAYCARE APPLICATION
CONTACT INFORMATION
Owner Information
Name: _________________________Address:
________________________________
Email: ____________________ Home phone: ____________ Wrk Phone: __________
Emergency Contact
Name: _________________________Address:
_______________________________
Email: ____________________ Home phone: ____________ Wrk
Phone: _________
Pet Information
Name: ____________________ Breed: _________________ Sex:
_______________
Birthdate: _______________________Weight:
_______________________________
Veterinarian
Name: _________________________Address:
_______________________________
Email: ________________________ Phone: ____________ Fax:
________________
Pet Personality Profile
Owner's Last Name: ____________________________
How did you hear about Alpha Dog Day Care?
_______________________________
Dog's Name: ____________________________ Date you acquired dog:
__________
Is dog spayed/neutered? ______ At what age was it done?
____________________
Where did you get your dog?
____________________________________________
If adopted, do you have any knowledge of your dog's past history?
______________
_____________________________________________________________________
Does your dog like children? _______
How does your dog behave around children?
________________________________
Are there other animals in your household? If so, please list
type, sex and age of each:
____________________________________________________________________
How does your dog get along with other resident animals? ____________________
____________________________________________________________________
Health/Grooming
Does your dog have a
problem with fleas? _____ Allergies? ____________________
Does your dog have hip dysplasia? ___________ If yes, what
restrictions need to be
placed on your dog's activities or
movements?________________________________
Does your dog like to be brushed?
_________________________________________
How does your dog react to having his/her nails clipped?
_______________________
______________________________________________________________________
Does your dog have any sensitive areas on his/her body?
______________________
______________________________________________________________________
Behavior
Does your dog act afraid of any specific items or noises? If
so, please explain:
______________________________________________________________________
How does your dog react to strangers coming into your home or
yard?
______________________________________________________________________
Does your dog ever bark or growl at anyone passing outside you
home or yard?
______________________________________________________________________
Are there any kinds of people your dog automatically fears or
dislikes?
______________________________________________________________________
Are there any kinds of dogs your dog automatically fears or
dislikes?
______________________________________________________________________
How does your dog react to puppies?
_______________________________________
Has your dog ever:
Growled at someone? ___________ What were the circumstances?
_____________
______________________________________________________________________
Bitten someone? ____________ What were the circumstances?
________________
Does your dog have any problems in any of the following areas: (if
so please explain)
Mouthiness: ___________________ Housetraining:
___________________________
Barking: ______________________ Digging:
________________________________
Jumping: _____________________ Other:
__________________________________
Has your dog ever growled or snapped at anyone who has taken
his/her food or toys
away from him/her?
_____________________________________________________
What were the circumstances?
___________________________________________
Has your dog ever shared his/her food or toys with other animals?
_______________
Does your dog play with any toys? _____________ If yes, what kinds
of toys does
your dog like and what games does he/she play?
____________________________
Has your dog ever had any formal obedience training? _______If
yes, when and
where?________________________________________________________________
What commands does your dog know?
_____________________________________
Other comments about your dog which you feel might be helpful:
________________
______________________________________________________________________
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| Downloadable Form: Alphadog
DayCare Application pdf format
Word Doc format |
503-236-8452 |
