Dog Enrolment Form

General Dog Details

Name:

Birth Date/Age:

Weight:

Sex:

Male

Female

Age when Spayed/Neutered:

Breed:

Colour/Markings:

Microchip Number: (if present)

Health & Medication

Flea & Tick Prevention Program: (Product/Frequency)
Heartworm Prevention Program: (Product/Frequency)
Intestinal Worm Prevention Program: (Product/Frequency)
Does your dog require meals whilst at day-care? Please list any details.
Does your dog have any food or plant allergies? Please list any details.
Does your dog require any medication whilst at day-care? Please list any details.
Additional Health Notes: Please list and detail any illness history or important information about your dog’s health.

Ownership History

How long have you owned your dog?
Where did you get your dog from?
If adopted, what knowledge do you have of your pet’s history?

Social Information

Has your dog been socialised regularly with other people and dogs? Please list any details.

Please list any specific breeds or types of dog that your pet is not comfortable with:

Has your dog ever been to an off-leash park?

Yes

Can your dog walk on a leash?

Yes

Is your dog toilet trained?

Yes

Would you allow your dog occasional food treats at day-care? Please list any details.

Does your dog like cuddles and petting?

Please list any favourite petting spots and places where your dog does not like to be touched.

What are your dog’s favourite toys/games?

Does your dog have any issues with the following? Please tick all which apply.

Barking
Defiance
Selective Hearing
Shyness
Urinating, Spraying or Marking
Digging
Mounting other dogs or objects
Crying
Eating fecal matter

Toy Possessiveness
People Possessiveness
Food Possessiveness
Jumping Fences
Jumping up to people
Chewing
Howling
Mouthing

What commands does your dog respond to? (Example: “sit” Include the release word if you use one.)

Has your dog been to puppy training?

Yes

Has your dog ever shown aggression to people or other dogs?

Yes

Is your dog frightened by loud noises like thunder or fireworks?

Yes

Has your dog ever suffered from separation anxiety? (ie. dig holes, scratch at doors, chew or bark incessantly)

Yes

Is there anything else we should know about your dog?

Attendance

Please indicate your preferences for attendance:

Days:

Mon

Tue

Wed

Thu

Fri

Frequency:

Weekly

Fortnightly

Occasionally

Location

Is your dog crate trained?

yes

By pressing the following button, you agree that the above information is true and accurate to the best of your knowledge.

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