Testimonial Provide Detaihls for Your Pet’s Tailored Service! 🐾 Dog Daycare Registration Step 1 — DOG INFORMATION DOG NAME WEIGHT (KG) DESEXED YesNo SEX MaleFemale BREED COLOR / MARKINGS AGE — Years AGE — Months MICROCHIP NUMBER ORIGIN Step 2 — OWNER INFORMATION Owner Contact OWNER NAME POSTCODE MOBILE PHONE WORK PHONE PARTNER NAME HOME PHONE EMAIL STREET ADDRESS PARTNER EMAIL Vet Details VET NAME VET PHONE STREET ADDRESS SUBURB POSTCODE Step 3 — EMERGENCY + DIET / MEDS Emergency Contact NAME PHONE NUMBER FOODS NAME FREQUENCY AMOUNT NAME FREQUENCY AMOUNT NAME FREQUENCY AMOUNT TREATS NAME FREQUENCY AMOUNT NAME FREQUENCY AMOUNT NAME FREQUENCY AMOUNT MEDICATION NAME FREQUENCY AMOUNT NAME FREQUENCY AMOUNT NAME FREQUENCY AMOUNT Step 4 — HEALTH / BEHAVIOUR / SCHEDULE Background IF ADOPTED/RESCUE, SPECIFY AGENCY AND KNOWN HISTORY Prevention FLEAS/TICKS PREVENTION?YesNo HEART WORM PREVENTION?YesNo INTESTINAL WORM PREVENTION?YesNo Medical / Diet IS YOUR DOG CURRENTLY TAKING ANY MEDICATION?YesNo IF SO, WHY? (EG POST-SURGERY, ETC.) POST-SURGERY NOTES DIETARY ISSUES ALLERGIES Training / Social HAS ATTENDED PUPPY CLASS?YesNo IF YES, WHERE? WALKS OFF-LEASH?YesNo HAS SEEN A BEHAVIORIST?YesNo IF YES, WHY? HAS PREVIOUSLY BEEN TO A DAYCARE?YesNo IF YES, WHICH ONE? IF YES, WHY DID YOU LEAVE? UNCOMFORTABLE WITH ANY PARTICULAR BREEDS? LIST ANY OTHER PETS IN YOUR HOUSEHOLD + INCIDENTS Behaviour & Safety HAS A HISTORY OF AGGRESSION?YesNo IF YES, DETAILS (DOGS/HUMANS/OTHER ANIMALS) ANY OTHER ONE-OFF BAD INCIDENTS?YesNo IF YES, DETAILS ACCEPTS PETTING?YesNo ACCEPT COLLAR TOUCHING?YesNo SUFFERS SEPARATION ANXIETY?YesNo IF YES, DESTRUCTIVE BEHAVIOUR? BARKS EXCESSIVELY?YesNo AFRAID OF LOUD NOISES?YesNo MOUNTS DOGS/PEOPLE?YesNo EATS FAECES?YesNo SWALLOWS FOREIGN OBJECTS?YesNo GUARDS FOOD/TOYS?YesNo ANY OTHER ISSUES WE SHOULD BE AWARE OF? Training Status & Schedule HAS HAD BASIC TRAINING?YesNo HAS GOOD RECALL?YesNo UNDERSTANDS & OBEYS BASIC COMMANDS?YesNo PLEASE LIST WHY DO YOU WANT YOUR DOG TO ATTEND DAYCARE? WHICH DAY/S OF THE WEEK IS PREFERREDMonTueWedThuFriSat FULL DAYSNone12345 HALF DAYSNone12345 IS YOUR DOG CRATE-TRAINED?YesNo OWNER OF IF ONE OF OUR EXISTING CLIENTS REFERRED YOU, WHO? I certify the information provided is accurate.
