Doggie Daycare Enrollment Form
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370 Range Road U Windham, NH 03087 U 603-890-6239
Email: info@woofwoof.net U
D
D
E
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OGGIE
AYCARE
NROLLMENT
ORM
Please Print
Dog’s Name: ______________________________________________ Breed:_________________________________________________________
Age: _________________________________
Male
Neutered
Female
Spayed Birthday: (M/D/Y)________________________________
1st Owner’s Name: ______________________________________________________________ Work# __________________________________
Cell# __________________________________ Email: ___________________________________________________________________________
Street Address: ____________________________________________
Home Phone# ____________________________________________
City: ______________________________________________________________ State: ____________________ Zip: ________________________
2nd Owner’s Name: _____________________________________________________________ Work# __________________________________
Cell# __________________________________ Email: ____________________________________________________________________________
Emergency Contact: ______________________________________________ Relationship: _____________________________________________
Email: ____________________________________________________
Cell# ____________________________________________________
D
P
OG
ROFILE
Age when purchased / adopted: _______________________ Where did you purchase / adopt? ________________________________________
What are your reasons for doggie daycare?
Socialization & Play
Exercise
Long Work Hours
Other ______________________________
Has your dog ever been to a doggie daycare before?
Yes
No If yes, where? ____________________________________________________
If yes, why are you changing daycares? ________________________________________________________________________________________
Have you and your dog attended any classes or trainings with us?
Yes
No If yes, when and what did you study and who was your trainer?
________________________________________________________________________________________________________________________
Where else have you trained with your dog? ___________________________________________________ How long ago? ___________________
Do you use a crate?
Yes
No If yes, when? ____________________________________ Has your dog ever damaged a crate?
Yes
No
PLEASE CHECK ANY PROBLEMS THAT YOU ARE CURRENTLY HAVING WITH YOUR DOG: (Check ALL that apply.)
Chewing
Mouthing
Nipping
Jumping on People
Jumping on Furniture
Pulling on Leash
Excessive Barking
Digging Holes
Running Away
Not Coming When Called
Stealing Food/Objects
Begging
Mounting
Eats Poop
Chases Cars
Chases Bikes/Strollers/Joggers
Fearful of Noises
Urinates when Excited
Not Housebroken
PLEASE TELL US ABOUT YOUR DOG: (Check ALL that apply.)
Has your dog ever jumped or climbed a fence?
Yes
No
I’m Not Sure _______________________________________________
Does your dog eat rocks?
Yes
No
I’m Not Sure _________________________________________________________________
Does your dog have separation anxiety?
Yes
No
I’m Not Sure ______________________________________________________
Does your dog get along well with other dogs?
Yes
No
I’m Not Sure ________________________________________________
Does your dog get along well with people?
Yes
No
I’m Not Sure ___________________________________________________
WHAT DOES YOUR DOG DO WHEN YOU: (Check ALL that apply.)
Take a toy away.
Barks
Snarls
Growls
Snaps
Bites
I’m Not Sure
No Problem
Take food away.
Barks
Snarls
Growls
Snaps
Bites
I’m Not Sure
No Problem
Approach him/her when eating.
Barks
Snarls
Growls
Snaps
Bites
I’m Not Sure
No Problem
Touch him/her when asleep.
Barks
Snarls
Growls
Snaps
Bites
I’m Not Sure
No Problem
Introduce him/her to another dog.
Barks
Snarls
Growls
Snaps
Bites
I’m Not Sure
Friendly
Introduce him/her to new people.
Barks
Snarls
Growls
Snaps
Bites
I’m Not Sure
Friendly
Introduce him/her to new situations.
Barks
Snarls
Growls
Snaps
Bites
I’m Not Sure
Friendly
If you answered Growls, Snaps, or Bites to any of these questions, please explain in greater detail in writing to us.
Veterinary Hospital: ______________________________________________________________ Phone# _________________________________
Microchip #: ____________________________ Brand: _________________________ Brand of Flea/Tick Control: __________________________
Dog Food Brand: __________________________________________
Dry
Wet
Feedings:
AM______
Noon______
PM______
Does your dog have any medical concerns? ____________________________________________________________________________________
Do we need to administer medicine for your dog while he/she is at daycare?
Yes
No
If yes, please explain
FREE Day of Daycare for the dog/owner who referred you!
Please tell us how you heard about Woof Woof Professional Dog Services
Current Customer or Friend ______________________________________________
Newspaper ____________________________________
Website
Facebook
Movies
Drive By
Veterinarian/Other: _____________________________________________________________
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