Dog Daycare Enrollment Form Page 2

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Dog’s General Information
Dog’s Name:
Birthday:
Age:
Sex:
M / F
Breed (or best guess):
Color:
Y / N
Y / N
Weight (approx.):
Is he/she microchipped?
Is chip data current?
How long have you had him/her?
Where did you get him/her?
If you have not had him/her from puppyhood, what do you know of his/her prior history?
Is your dog housebroken or crate trained?
If crate trained, does he/she like the crate?
Has your dog ever escaped/attempted to escape by digging, jumping or climbing fences?
Y / N
Explain:
Does your dog play with toys?
Y / N
What kind?
Is your dog possessive of toys or food?
Y / N
Describe:
Has he/she shared toys or food with other dogs?
Y / N
Describe:
Were there any problems?
Y / N
Describe:
How does your dog generally react to other dogs?
Y / N
Does your dog have any medical restrictions on his/her activities?
Describe:
Has your dog ever played on playground or agility equipment?
Y / N
Do you feel playground or agility equipment is appropriate for your dog?
Y / N
Has your dog ever attended group play?
Y / N
If yes, how did your dog react to other dogs?
Are there other dogs in the household?:
How many?
Y / N
Describe how they get along:

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