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I like staying at Alpha Dog Daycare and Boarding

I have lots of friends to play with at Alpha Dog Daycare and Boarding

Won't you come play with me at Alpha Dog Daycare and Boarding

"Where every dog is a Top Dog"  

 

 
DAYCARE APPLICATION

CONTACT INFORMATION

Owner Information
Name: _________________________Address: ________________________________
Email: ____________________ Home phone: ____________ Wrk Phone: __________

Emergency Contact
Name: _________________________Address: _______________________________
Email: ____________________ Home phone: ____________ Wrk Phone: _________
 
Pet Information
Name: ____________________ Breed: _________________ Sex: _______________
Birthdate: _______________________Weight: _______________________________

Veterinarian
Name: _________________________Address: _______________________________
Email: ________________________ Phone: ____________ Fax: ________________

Pet Personality Profile
Owner's Last Name: ____________________________
How did you hear about Alpha Dog Day Care? _______________________________
Dog's Name: ____________________________ Date you acquired dog: __________
Is dog spayed/neutered? ______ At what age was it done? ____________________
Where did you get your dog? ____________________________________________
If adopted, do you have any knowledge of your dog's past history? ______________ _____________________________________________________________________
Does your dog like children? _______
How does your dog behave around children? ________________________________
Are there other animals in your household? If so, please list type, sex and age of each: ____________________________________________________________________
How does your dog get along with other resident animals? ____________________
____________________________________________________________________


Health/Grooming
Does your dog have a problem with fleas? _____ Allergies? ____________________
Does your dog have hip dysplasia? ___________ If yes, what restrictions need to be
placed on your dog's activities or movements?________________________________
Does your dog like to be brushed? _________________________________________
How does your dog react to having his/her nails clipped? _______________________
______________________________________________________________________
Does your dog have any sensitive areas on his/her body? ______________________
______________________________________________________________________

Behavior
Does your dog act afraid of any specific items or noises? If so, please explain:
______________________________________________________________________
How does your dog react to strangers coming into your home or yard?
______________________________________________________________________
Does your dog ever bark or growl at anyone passing outside you home or yard?
______________________________________________________________________
Are there any kinds of people your dog automatically fears or dislikes?
______________________________________________________________________
Are there any kinds of dogs your dog automatically fears or dislikes?
______________________________________________________________________
How does your dog react to puppies? _______________________________________
Has your dog ever:
Growled at someone? ___________ What were the circumstances? _____________
______________________________________________________________________
Bitten someone? ____________ What were the circumstances? ________________
Does your dog have any problems in any of the following areas: (if so please explain)
Mouthiness: ___________________ Housetraining: ___________________________
Barking: ______________________ Digging: ________________________________
Jumping: _____________________ Other: __________________________________
Has your dog ever growled or snapped at anyone who has taken his/her food or toys
away from him/her? _____________________________________________________
What were the circumstances? ___________________________________________
Has your dog ever shared his/her food or toys with other animals? _______________
Does your dog play with any toys? _____________ If yes, what kinds of toys does
your dog like and what games does he/she play? ____________________________
Has your dog ever had any formal obedience training? _______If yes, when and
where?________________________________________________________________
What commands does your dog know? _____________________________________
Other comments about your dog which you feel might be helpful: ________________
______________________________________________________________________

Downloadable Form: Alphadog DayCare Application   pdf format   Word Doc format

503-236-8452

Let's go to Alpha Dog Daycare and Boarding