Dog Daycare Registration Form

We are currently full and not accepting new daycare clients as of 7/20/2019.

Plays with groups of dogs (including unfamiliar dogs) at least once a week with no concerns
Able to interact safely with all sizes of dogs; Does not scare or pounce on small dogs.
If recently adopted, your dog has been in your home at least 14 days with no signs of illness
If recently adopted and your dog is over 5 months of age, you have observed your dog playing well with all sizes of dogs and have taken them to the dog park at least 6 times
Does not bark excessively during play
Able to share toys
Not protective of food or toys to an aggressive degree
Your dog has never bitten and broken the skin on a human or another dog. (Puppy mouthing/biting ok)
14 weeks of age and has had at least two rounds of vaccinations
Male dogs are neutered if over 12 months of age
Unspayed female dogs are not in heat and it is at least three weeks AFTER last heat cycle
Current on all vaccinations deemed necessary by your vet
Clear fecal exam within the last 45 days
In good health and free from communicable diseases
If your dog is obese (an 8 or 9 on the Purina Body Condition System), you have written vet approval to start daycare.

Give us a call at 206-782-4321 if you have any questions about your dog’s suitability for the daycare environment.

Owner's Name:
Co-Owner's Name:
Best Daytime Phone:
Home Phone:
Cell Phone:
Work Phone:
Emergency Contact:
Emergency Phone:
Email Address:
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Street Address:
City:
Zip:
Because many of our dog clients have numerous and changing caregivers, our authorized pickup policy is as follows: We will release your dog to anyone who can tell us your dog's full name, an owner's full name, and a description of your dog. I understand your pick up policy. I need Custody Restrictions for my dog and will supply photos, names, and phone numbers for the limited number of people who are authorized to pick up my dog. I need Custody Restrictions for my dog and will supply photos and names of the limited number of people who are UNAUTHORIZED to pick up my dog.
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* If you heard about us from a friend or a local business, please let us know who so we can say "Thank you!" to them:

Dog's Name:
Birthday:
Breed:
Weight:
MaleFemale
At what age was your dog spayed or neutered?
If your dog is not spayed or neutered, at what age are you planning to do this?
Where did you get your dog?
How long have you had your dog?
Describe any prior daycare experience:
Expected number of days your dog will need daycare: Temporary Care Onlyonce/week2-3 days/week4-5 days/week1-3 days/month
Reason for enrolling your dog in daycare: (please select all that apply) Needs ExerciseCannot be left aloneSocializationHousetraining issues at homeTemporary Care OnlyOther
If you selected "Other" above, please specify:

Vet Name and Clinic:
Vet Phone:
Known allergies:
Brand of food:
If your dog ever coughs due to tracheal damage, allergies, pressure from collar on throat, or any other reason, please describe:

Please describe any injuries or ongoing health issues, and list any medication needed for behavioral or medical issues:

How often does your dog engage in group play with unfamiliar dogs?

Types or breeds of dog your dog does not like:

Any kinds of people your dog automatically doesn't like?

Has you dog ever growled at a person? Yes Please describe:

Has you dog ever bitten a person? Yes Please describe:

Has you dog ever bitten a dog? Yes Please describe:

Please select the words that describe your dog:
WonderfulSweetJealousPredatoryStubbornImmatureWell-behavedAggressivePushyHyperHappyProtectiveShyMellowDemandingFearfulHigh EnergyHigh StrungPlayfulDominantSubmissiveAnxiousTerritorial

Play style with other dogs:
Has many dog friendsLikes off leash parksNippyLoves to wrestleGuards toysBarkyFetch DogHerds dogsHates being mountedGets mounted frequentlyFrequently mountsLoves to chaseLoves to be chasedLikes people more than dogsScares small dogsAfraid of big dogsGentle with small dogsYelps or Screams LoudMouthyWon't start a fight but will fight back if another dog starts something

Please select any of the behaviors that might sometimes apply to your dog:
Afraid of vacuumsDoes not obeyMouthy/bites peopleAttacks dogs when on leashBarks excessivelyEscape artistToy-possessiveDestroys ToysNoise phobiasSeparation anxietyEats non-food itemsGrowls at some strangersKills small crittersPeople-aggressiveCan't grab collarJumps FencesJumps on peopleEats PoopGuards foodCan't be brushedHas needed surgery due to ingesting non-food item

Please add anything else we should know about your dog:

Location and date of prior training classes:

Any training challenges?

Any training equipment used on walks?