Dogma Training & Pet Services Inc. - Online Dog Daycare Application Form

Daycare Application Form:

Please fill out all of the below information. Once we have reviewed this information you will be contacted by a Dogma staff member. Prescreening is required for any dog before being admitted into dog daycare.

Guardian Information:

Name:

Address:

City:

Province:

Postal Code:

Phone:

Alt Phone #:

Email:

Where did you hear about us?:

Emergency Contact information:

Name:	Phone:
Vet's Name:	Phone:

Dog Information:

Name:

Breed:

Date of Birth (approx if unknown):

Sex:

Spayed/Neutered?:

Please provide us with a brief history of your dog - where you got your dog from, etc?

Does your dog have any current or past medical conditions or injuries?: Yes No

If yes, please explain:

Is your dog on any medications ?: Yes No

If yes, please list below and how often they are administered:

Has your dog ever been to dog daycare before?	Yes No
Is your dog up to date on its vaccinations?	Yes No
Has your dog attended obedience classes?	Yes No
What commands does your dog know?:

Is your dog housetrained?	Yes No
Does your dog dig?	Yes No
Is your dog mouthy with anyone?	Yes No
Does your dog jump on people?	Yes No
Does your dog bark often?	Yes No
Has your dog shown any destructive behaviour when you are not home?	Yes No
Has your dog ever climbed/jumped a fence?	Yes No
If so, how high was the fence?:
Has your dog ever been in a fight with another dog?	Yes No
If yes, please explain:

Overall, does your dog get along well with other dogs?	Yes No
If not, please explain:

Does your dog display aggression towards other dogs while on leash?	Yes No
How does your dog react to puppies?

Are there certain types of dogs your dog dislikes?	Yes No
If so, please explain:

Does your dog share toys well with other dogs and people?	Yes No
If not, please explain:

Does your dog share food/treats well with other dogs and people?	Yes No
If not, please explain:

Has your dog ever displayed aggression towards a person?	Yes No
If so, please explain:

How does your dog respond to strangers?

Does your dog have any sensitive areas on its body?	Yes No
If so, please explain:

Has your dog demonstrated any fears/phobias?	Yes No
If so, please explain:

Please rate your dog's energy level (1 being very mellow and 10 being extremely active):
1 2 3 4 5 6 7 8 9 10

Additional Comments:

info@dogmatraining.com