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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:
Phone:
Alt Phone #:
  
Email:
Where did you hear about us?:
Dog Information:
Name:
Breed:  
:
Date of Birth (approx if unknown):
Sex:  
F: 
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

If yes, please explain:

Is your dog on any medications ?: Yes

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

Has your dog ever been to dog daycare before?


Is your dog up to date on its vaccinations?
Has your dog attended obedience classes?

What commands does your dog know?:

 
 
Is your dog housetrained?
Does your dog dig?
Is your dog mouthy with anyone?
Does your dog jump on people?
Does your dog bark often?
Has your dog shown any destructive behaviour when you are not home?
Has your dog ever climbed/jumped a fence?
If so, how high was the fence?:
Has your dog ever been in a fight with another dog?
If yes, please explain:  
 
Overall, does your dog get along well with other dogs?
If not, please explain:  
 
Does your dog display aggression towards other dogs while on leash?
How does your dog react to puppies?
Are there certain types of dogs your dog dislikes?
If so, please explain:
Does your dog share toys well with other dogs and people?
If not, please explain:  
 
Does your dog share food/treats well with other dogs and people?
If not, please explain:  
 
Has your dog ever displayed aggression towards a person?
If so, please explain:
How does your dog respond to strangers?  
 
Does your dog have any sensitive areas on its body?
If so, please explain:
Has your dog demonstrated any fears/phobias?
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:

 

 
   
 

 

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