Daycare Questionnaire Form

Please complete the form below to submit the Daycare Questionnaire Form online. You can also click the button below to download and print the form.

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Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Emergency Contact Name *

Emergency Contact Phone *

Pet's Name *

Veterinarian Name and Phone Number *

Alternative people picking up from daycare?

Breed *

Age/Date of Birth *

Color *

Sex *

Male
Neutered Male
Female
Spayed Female

We do require all dogs over the age of six months to be spayed or neutered to participate in daycare.

Requirements for doggy daycare:
*DHLPP, Rabies, Bordetella
*Bi-Annual negative fecal samples

Has your dog ever been to a daycare or play park? *

How does your dog normally respond to strangers or other dogs? *

Does your dog have any medical conditions?

Any medications or restrictions? If so, please explain.

Does your dog prefer to play with people or other dogs?

Has your dog ever had any aggression issues? With toys, food, or water bowl?

Has your dog ever bitten another dog or person? If so, please explain.

Does your dog have any issues with loud noises/thunderstorms?

Does your dog prefer male or female dogs?

Does your dog exhibit destructive behavior when they are left alone?

Does your dog bark a lot?

Have they ever escaped out of any enclosures?

Does your dog tend to dig holes?

Please pick the description that best describes your dog’s personality:

Class clown (goofy/playful/high energy)
Big Man on Campus (Alpha/referees playtime)
Cheerleader (opinionated/vocal)
Teacher’s Pet (shy/watches rather than getting involved)
Over Achiever (wants to be involved in everything!)

Please list any other information we might find helpful.

Please list any training or obedience classes your dog has attended and what commands they know:

Phone