Owner's Name(s) *

First Name

Last Name

First Name

Last Name

Primary Phone Number *

(###)

###

####

Secondary Phone Number

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact *

First Name

Last Name

Emergency Contact Phone Number

(###)

###

####

Gender *

Male

Female

Spayed/Neutered *

Yes

No

If no, do you plan on spaying/neutering your dog in the future?

Yes

No

Veterinary Clinic Phone Number

(###)

###

####

Is your dog up to date on their vaccines? *

Puppies must be 4 months or older and have their second set of vaccines in order to attend playcare.

Yes

No

Does your dog have the Bordetella vaccine? *

The Bordetella vaccine is a noncore vaccine to prevent Kennel Cough. It is given to dogs that are frequently exposed to other dogs in boarding or social settings including daycare, dog parks, kennels and training classes.

Yes

No

Energy Level

High

Medium

Low

Jumper

Yes

No

Talker

Yes

No

Garbage Hound

Yes

No

Possesive

Food, toys, people etc.

Yes

No

Squirrel/Bird Chaser

Yes

No

Good with cats

Yes

No

Unsure

Please select the commands your dog responds to.

Sit

Down

Stay

Come

Recalls Well

Yes

No

Housetrained

Yes

No

Uses Pee Pads

Yes

No

Crate trained

Yes

No

Frequency

When and how often is your dog fed?

Breakfast

Lunch

Dinner

What services are you interested in?

(Select all that apply)

Playcare

Kennel-Free Boarding

Dog Walking

Puppy Visits

Cat Visits

Grooming