Four Paws Academy Day Care/Boarding Application

Four Paws Academy Day Care/Boarding Application

Thank you for taking the time to complete this form. The more information we have about your pet, the better prepared we are to assess him/her.
Daycare - $33/day. Puppies 7 weeks-10 months - $50/day. Evaluation fee - $50. There is a 2 day per week minimum. If for any reason you are unable to keep your regularly scheduled days, you are still responsible to pay for your days to hold your spot. There is a mandatory once a month nail clipping for a fee of $10.

Drop off time is from 7am-9am. Pick up time is from 4pm-5:30pm.
Date *

Month Day Year
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Cell Number (IMPORTANT) *
Please enter a valid phone number.
Home Number
Please enter a valid phone number.
Email *
Dog's Name *
Dog's Age *
Breed: (If mixed, primary breeds) *
Vet Clinic Name *
Vet Clinic Phone Number
Please enter a valid phone number.
How long have you owned your dog? *
Where did you get your dog? *
What knowledge do you have of your dog's past history? *
Spayed or Neutered? *
What are the reasons you are wanting to enroll your dog in Day Care (Select all that apply)? *

Play with other dogs To relieve separation anxiety Recommended by another pet professional So not home alone Exercise Other
Which of the following best describes your dog's level of socialization? *

None Minimal (on-leash encounters only) Moderate (some off-leash time) Extensive (regular visits to social events, off-leash dog parks, dog daycare, etc.)
Has your dog had any problems previously in an off-leash social environment? *

No Yes
If the answer to the previous question is YES, please check all that apply:

Altercation or fight with a neighbor's or friend's dog Dismissed from a prior dog daycare or social group Altercation or right at a public dog park Fearful reaction in a group of dogs Other
Does your dog have any physical disabilities? If YES, what restrictions need to be in place on your dog's activities or movements? *
Does your dog have any medical conditions? *

Yes No
Does this condition require medication?

Yes No
If YES, please provide name of medication and dosage
Does your dog have any sensitive areas on his/her body? *

Yes No
If YES, where?
Does your dog have any bathroom related issues or concerns? *
How frequently do you walk your dog outside? *
How long are your walks? *
What best describes your dog's activity levels? *

Couch Potato Moderate Exerciser Mild Exerciser Athlete
How would you describe your dog's overall energy level? *

Low Medium High
Do any visitors bring their dog into your home? *

Yes No
If YES, how does your dog get along with their dog?
How does your dog react to a stranger coming into your home or yard? *
Does your dog bark or growl at anyone passing outside your home or yard? If YES, please explain: *
Are there any types and/or breeds of dogs your dogs seem to automatically fear or dislike? If YES, please explain: *
How does your dog react to puppies? *
How does your dog react to another dog approaching him/her in a park, beach, or on a walk while ON leash? *
How does your dog react to another dog approaching him/her in a park, beach, or on a walk while OFF leash? *
Does your dog play with other dogs? Please check all that applies. *

Plays with males and females Plays with only females Prefers bigger dogs Prefers dogs who play hard Plays with only males Prefers small dogs Prefers dogs who are calm Doesn't play with other dogs
What kind of games does your dog play with other dogs? *
What kind of games does your dog play with people? *
Which commands does your dog know? *

Sit Stay Down Come Heel None
How did your dog get his/her training? *

Attended group classes Board and train program Private lessons Myself No training ever done
Which of the following best describes the use of the obedience cues with your dog at home? *

Key part of daily communication Used when we got out or have people over Used occasionally to better control behavior Rarely used
Are there any types of people your dogs seems to automatically fear or dislike? If YES, please explain: *
Has your dog ever growled at someone? If YES, please explain: *
Has your dog ever bitten a person. If YES, please state the circumstances and the severity of the bite: *
Has your dog ever bitten another dog? If YES, please state the circumstances and the severity of the bite: *
Has your dog chased a small animal? If YES, what did he/she do once he/she caught up to the small animal? *
Has your dog ever chased a human on a skateboard, bicycle, or something similar? *

Yes No
Is your dog frightened or nervous around anything else? *
Has your dog ever growled or snapped at a human who was attempting to take food or toys away from him/her? *

Yes No
Have you ever noticed your dog stopping and staring hard at another dog or animal? *

Yes No
Is there anything else you think we may need to know about your dog? *
How did you hear about Four Paws Academy
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