Bone Voyage Daycare Application printable pdf download

Bone Voyage Daycare Application

All Dogs Must Pass A Temperament Evaluation

Owner Name: _________________Daytime Phone:__________Evening Phone: ___________Cell:_________

Address: ______________________Postal Code:___________________Email:_________________________

Emergency Contact Person: ____________________Relation:_________________Phone:_________________

Who other than your family is authorized to pick your dog up from Daycare?____________________________

Dog’s Name: _____________________________Breed: _____________________ Color:________________

Age: ________________ Birthdate: __________Sex: ________Altered? ____At what age:________________

Microchip #:_______________________Tattoo #:_______________________Location of Tattoo___________

What type of flea protection is your dog on? _______________Date of last Fecal__________ Negative? Y N

Given Date of Vaccination: Distemper:___________ Bordetella: __________ Rabies 1 year/ 3 year_________

Vet Clinic Name: _________________________Phone #: ______________Preferred Vet: ______________

Where did you get your dog from?: Breeder Family Pet Store Shelter Rescue Group

Friend

Other: ____________________________________________________________________________________

If adopted, do you have knowledge of your dogs past history?________________________________________

If yes, please describe?_______________________________________________________________________

How old was your dog when you got him/her? ____________________________________________________

Is your dog crate trained?____________________________ Wire or Plastic Kennel?_____________________

How does your dog react to having his/her nails clipped?_______________How often?____________________

Does your dog have any sensitive areas on his/her body?___________________________________________

Where does your dog like to be patted?__________________________________________________________

How does your dog react to visitors/ strangers coming into your home/yard?____________________________

Has your dog ever growled/snapped or lunged at anyone passing by your car/home/yard?__________________

Are there any types of dogs/puppies that your dog automatically fears or dislikes?________________________

How does your dog react to puppies?____________________________________________________________

What does your dog do when you are not home (destructive behaviors, barking etc.)?_____________________

How does your dog react when you get home?____________________________________________________

Has your dog ever growled or snapped at someone?________________________________________________

If yes, what where the circumstances?___________________________________________________________

Has your dog ever climbed or jumped a fence?__________________If yes, how high was it?_______________

Does you dog have any problems in the following areas? (circle any that apply)

Mouthing Housetraining Barking Digging Ignoring Commands Chewing

Whining Bolting out Doorways

Bone Voyage Daycare Application