Daycare - New Clients

Daycare playtime is from 8-12 noon and 1:30-3:30 (Based on availability). Reservations are required.

Early drop-off is recommended on your first day

Dogs must check in by 10am for morning play. Be sure to provide current vaccine records (Rabies and DHPP – distemper/parvo)

GENERAL INFORMATION
First & Last Name*
Work / Home Phone*
Cell Phone*
Email*
Home Address*
City / State / Zip Code*
Arrival Date #1*
Date Format: MM slash DD slash YYYY
Arrival Date #2
Date Format: MM slash DD slash YYYY
Add another arrival date.
- Add another arrival date.
Arrival Date #3
Date Format: MM slash DD slash YYYY
Arrival Date #4
Date Format: MM slash DD slash YYYY

PET'S INFORMATION
Pet’s Name*
Pet’s Weight*
Breed*
Sex*
Age*
Color*
Type of flea & tick prevention and date last applied*
Is your pet on any medication? If so, please describe*
Pet’s Veterinarian*
How did you hear about us?*
Comments & Requests

MEDICAL INFORMATION
Does your pet have any of the following?
List any physical limitations your pet may have:*
List current allergies (if any):*
Any existing lumps/bumps? If so, where?*
Any health concerns (ie: Arthritis, etc)?*
Has your pet ever overheated?*
List previous or current injuries/surgeries:*
Is your pet prone to ear infections?*
Has your pet ever had a seizure?*
Is your pet prone to hot spots?*
Does your pet have any heart issues?*
Any other medical information you would like us to know?*
BEHAVIOR AND PERSONALITY
To help us better understand your pet's boarding needs:
Does your pet suffer from separation anxiety?*
Has your pet ever bitten another dog?*
Has your pet boarded before? If so, where?*
Has your pet bitten a person? If so, did they break skin?*
Has your pet been aggressive toward other dogs?*
Has your pet ever climbed a fence or tried to escape?*
Is your pet afraid of thunderstorms?*
Is your pet a chewer (furniture, carpet, clothes, etc.)?*
FEEDING INFORMATION
To help us better understand your pet's feeding needs:
Is your pet food/treat aggressive?*
Can other food be added to your pet's food if they are not eating?*
Is your pet a picky eater?*
Does your pet require a raised food/water bowl?*
Does your pet have any food allergies?*
OTHER INFORMATION
Any part of your pet's body they do not like touched (ie: ears, feet, etc.)?*
Does your pet's fur matt easily?*
Does your pet excessively chew/lick any part of their body?*
Does your pet chew their collar and/or harness if left on?*
Name
This field is for validation purposes and should be left unchanged.

Daycare - New Clients

GENERAL INFORMATION

PET'S INFORMATION

MEDICAL INFORMATION

BEHAVIOR AND PERSONALITY

FEEDING INFORMATION

OTHER INFORMATION

OFFICE HOURS