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DAYCARE ENROLLMENT FORM PET INFORMATION: Name: Breed: Sex: Weight: Birthdate: OWNER INFORMATION: Name(s): Address: E-mail address: Cell phone: Home phone: Work phone: EMERGENCY CONTACT: Name: Cell phone: 2nd phone: VETERINARIAN: Name: Address: E-mail address: Phone: Fax: PET PROFILE: Date you adopted your dog: Age of dog when adopted: Where did you find your dog: At what age was your dog spayed/neutered: How do you treat your dog for fleas: Date of last treatment: Does your dog have allergies or ANY health problems: BEHAVIOR How would you describe your dogs' behavior? (outgoing, shy, fearful, bossy, easygoing ect.)? Does your dog like children? How many children has your dog met/spent time with: How does your dog behave when children are around: Does your dog get along with other animals in your household? Does your dog play well with animals he/she has just met? Does your dog like to meet new people? Does your dog allow people he/she just met to pet him/her? Does your dog like to be brushed? Does your dog react to having his/her nails clipped/filed? Does your dog have any sensitive areas on his/her body? Does your dog act afraid of specific items or noise? How does your dog react to strangers coming into your house? Does your dog bark or growl at people passing your home or yard? Are there any kinds of people or animals that your dog automatically fears or reacts to? How does your dog react to dogs that are much bigger or smaller than he/she? Has your dog ever bitten someone? What were the circumstances? Has your dog ever bitten another dog? What were the circumstances? Does your dog have any behavior problems you'de like to work on? (housetraining, pulling on leash, barking ect.) Does your dog guard food, toys, space, people etc? Has your dog ever growled or snapped at someone who has taken his/her food away? Does your dog play with toys? Does your dog willingly share his/her toys with other dogs? Has your dog had any formal obedience training? If so where? What commands does your dog know? Why are you interested in daycare for your dog? What type of schedule are you hoping for (days of the week, number of days per week, full or half day)? Is there anything else about your dog you would like us to know? After completing this form click submit to enroll your dog today!
