PC - Education

Calling All Dogs: DOGGY DAYCARE
Pre-evaluation form, rules, and waivers

Please fill all the required (*) fields in the form below.

Name *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Email

example@example.com

Phone Number *

- Area Code Phone Number

Dog's Name *

Breed *

Gender *

Age *

Spayed/Neutered? *

How long have you had your dog? *

Does your dog have any medical concerns, dietary restrictions, and/or sensitive areas on his/her body? If yes, please explain. *

Has your dog ever growled or bitten? *

How does your dog behave when s/he sees another dog on the other side of a barrier (fence, car, window, etc)? *

Are there any people or animals that your dog automatically fears or dislikes? *

How does your dog react around puppies and small dogs? *

Has your dog ever growled or snapped at a person or dog that tries to take his/her food, toys, or water away? *

How does your dog act when sharing food, water, and toys with other dogs? *

Has your dog ever displayed signs of fear and/or aggression? *

Does your dog get nervous of any specific sounds? *

How does your dog react to strangers coming into the yard or home? *

How does your dog react to fast movement of other animals (large and small)? *

If you have other pets in the home, how does your dog get along with them? *

Do you have any comments about your dog which you feel might be helpful? *

How often does your dog interact with other dogs? *

Check the boxes that apply to your dog within the last 14 days: *

Fleas Vomiting Diarrhea Boarded at a kennel Attended a dog daycare/park Diagnosed with Parvo, Flu, or Kennel Cough None of the above

Please list the full names and phone numbers of people that you approve to pick your dog(s) up from daycare. The first person listed MUST be able to pick up your dog(s) in case of an emergency and/or removed from daycare *

Upload Vaccination Records

Upload Files

Attach PDF, DOC, DOCX only

By signing below, I fully understand and agree to the Calling All Dogs' Daycare Rules, Health Waiver, and Liability Waiver. I also agree that I answered all questions on this form truthfully and to the best of my ability. *

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