Doggie Daycare Registration Form - Vet In Toney | Countryside Veterinary Hospital

Pet’s Name

Owner*

Pet’s Weight

Breed

Sex

Male
Female
Neutered
Spayed

Color

Pet’s DOB

Emergency Contact

Phone

Care of Your Pet

Mealtime Instructions

Is your dog allowed to have treats:

YES
NO

Additional considerations in the care of your pet

Pet’s History

Where did you get your dog?

Breeder
Shelter
Stray

How long have you had him/her?

If you have not had him/her since puppyhood, do you know your dog’s prior history?

Has your dog ever been in a fight or bitten another dog?

Yes
No

Explain

Has your dog ever been attacked or bitten by another dog?

Yes
No

Has your pet ever bitten a person?

Yes
No

Explain

Does your pet have any dog, people, or food issues?

Is your pet afraid of thunderstorms?

Health

Does your pet have any special needs or pre-existing physical problems?

Does your pet have any allergies?

What type of flea prevention is your pet on and due date?

What type of Heartworm prevention is your pet on and due date?

What medications or supplements is your pet currently taking?

Behavior

Please describe your pet’s overall temperamentt

Does your dog interact with other dogs outside of your home?

Yes
No

Explain

How does your dog normally react to other dogs?

How does your dog act around puppies?

Has your dog ever participated in play at a dog park?

YES
NO

Has your dog ever participated in daycare before?

YES
NO

If yes how did he/she do?

What is your dog's energy level when involved in group play?

Has your dog shared food/toys with other dogs before?

Yes
No

Were there any issues with sharing?

Does your dog jump on people?

Yes
No

Does your dog have containment or separation issues?

Yes
No

Explain

Does your pet jump/climb fences or try to dig out?

Does your dog have any kinds of dogs he/she automatically fears or dislikes?

Yes
No

Describe

Does your dog have any kinds of people he/she automatically fears or dislikes?

Yes
No

Describe

Does your pet have any situations or circumstances that he/she is frightened of?

Any other behavioral issues does your pet have?

Is your dog housebroken or crate trained?

Yes
No

Does your dog play with toys?

Yes
No

Is your dog possessive with toys?

Yes
No

Does your dog prefer a particular sex of dog?

Yes
No
Male
Female

Has your dog ever received any formal training?

Yes
No

Describe

Does your dog know any commands?

Does your dog like to have his/her coat brushed?

Yes
No

How does your dog react to getting his/her nails trimmed?

When would you like to start daycare?

Are there particular days of the week or times that you would want/need to have your dog in daycare? If so please list:

Please explain any other concerns or considerations for your dog not already discussed: