DOG'S REGISTRATION
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Client Profile
First Name
Last Name
Address
Preferred Phone
Phone 2
Email
How did you hear about us?
Please let us know which service you are interested in:
Daycare
Boarding
Grooming
Training
Fitness
Physical Rehabilitation
Events
Emergency Contact
Dog's Information
Dog's Name
Birthday
Sex
M
F
Spayed/Neutered?
Y
N
Breed(s)
Color
Weight
Vet's Name and Phone
What is your current method of tick & flea control?
Has your dog been de-wormed in the past 3 months by your vet?
Y
N
Does your dog have any medical condition?
Does your dog have any allergies?
Y
N
Please list and describe symptoms
If you planning on using our daycare or boarding services please fill out the remaining sections of this form
Diet
Type and brand of food
How much per feeding
How often
At feeding times, how does your dog tend to eat?
Fast
Slow
Select your dog's eating habits
Eats all food at mealtime
Nibbles throughout day
Goes for periods without eating
Requires more palatable food to be mixed in to eat
Has your dog ever suffered from Canine Bloat?
Y
N
If your dog has an upset stomach, can we feed them a bland diet to settle their tummy?
Y
N
Can we give your dog treats?
Y
N
Temperament & History
Has your dog ever attended daycare?
Y
N
Please describe the experience
Has your dog ever been boarded?
Y
N
Please describe the experience
How often does your dog spend time with other dogs?
Never
Occasionaly
Often
Has your dog been injured at a daycare or while playing with other dogs?
Y
N
Please specify
What situations may cause your dog to become unfriendly
(select all that apply)
Grabbing collar
Removing from furniture
Bathing
Brushing
Touching ears/paws/mouth/tail
Other
Hugging
Touching while sleeping
Guarding food/toys
Nail trimming
Around other dogs
None
Describe if your dog displays unfriendly behavior
(select all that apply)
Will bite
Growls
Shows teeth
Trembles
May bite
Snaps
Freezes
Moves away
Has your dog ever bitten another dog?
Y
N
Please specify
Has your dog ever bitten a person?
Y
N
Please specify
Has your dog had any obedience training?
Y
N
Please describe, including the time frame of training
Does your dog eat or chew on his bedding?
Y
N
Describe your dog's activity level
Low
Medium
High
Any other information whe should know about your dog?
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