Dog Owner's Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
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Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Dog(s) Name(s)
*
Breed
*
Weight
*
Color(s)
*
City License #
*
Microchip #
Sex
*
All dogs over 6 months old must be spayed or neutered:
Primary Veterinary Clinic
*
Veterinary Phone
*
(###)
###
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Medications, Allergies, Physical Limitations / Health Problems
**Please note if your dog has been ill with a communicable or potentially communicable disease within the past 30 days a health clearance signed by a licensed veterinarian must be received before your dog can attend the Canine Athletic Club. Please do not bring ill (vomiting, diarrhea, eye/ear infections etc.) or injured (sore, limping etc.) dogs to daycare.
What brand of food does your dog eat?
*
How often is your dog fed? (specific times are helpful!)
*
How much does your dog eat at each mealtime?
*
i.e. one cup, one scoop, etc
How long have you owned your dog?
Where did you get your dog?
General Information
Has your dog ever been to daycare before?
*
Has your dog ever boarded at another facility before?
Does your dog prefer male or female playmates?
Has your dog attended obedience training? If yes, when, where, what type?
Has your dog ever...?
*
Does your dog have problems in the following areas?
*
How many hours a week do you work on obedience with your dog?
*
How many hours of exercise does your dog get per week?
*
How is your dog's recall?
*
i.e. Does your dog always come when his name is called?
Is there anything else we should know about your dog(s)?
How did you hear about us?
*
If "other," please describe. If referred by a friend, please tell us who!
