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 dayDogs must check in by 10am for morning play. Be sure to provide current vaccine records (Rabies and DHPP – distemper/parvo) GENERAL INFORMATIONFirst & 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 INFORMATIONPet’s Name*Pet’s Weight*Breed*Sex*MaleNeuteredFemaleSpayedAge*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 INFORMATIONDoes 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 PERSONALITYTo 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 INFORMATIONTo 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 INFORMATIONAny 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?*CommentsThis field is for validation purposes and should be left unchanged.