Four Paws Academy Day Camp/Boarding Application

Four Paws Academy Day Camp/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.
Day Camp- $33/day. Puppies 7 weeks-10 months: $50/day - Prerequisite: All dogs that want to attend Day Camp must complete one month of Day Train (3 days per week). Click Here for Training page for more information. 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*

MonthDayYear
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Number (IMPORTANT)*
Please enter a valid phone number.Format: (000) 000-0000.
Home Number
Please enter a valid phone number.Format: (000) 000-0000.
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.Format: (000) 000-0000.
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 dogsTo relieve separation anxietyRecommended by another pet professionalSo not home aloneExerciseOther
Which of the following best describes your dog's level of socialization?*

NoneMinimal (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? *

NoYes
If the answer to the previous question is YES, please check all that apply:

Altercation or fight with a neighbor's or friend's dogDismissed from a prior dog daycare or social groupAltercation or right at a public dog parkFearful reaction in a group of dogsOther
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?*

YesNo
Does this condition require medication?

YesNo
If YES, please provide name of medication and dosage
Does your dog have any sensitive areas on his/her body?*

YesNo
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 PotatoModerate ExerciserMild ExerciserAthlete
How would you describe your dog's overall energy level?*

LowMediumHigh
Do any visitors bring their dog into your home?*

YesNo
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 femalesPlays with only femalesPrefers bigger dogsPrefers dogs who play hardPlays with only malesPrefers small dogsPrefers dogs who are calmDoesn'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?*

SitStayDownComeHeelNone
How did your dog get his/her training?*

Attended group classesBoard and train programPrivate lessonsMyselfNo training ever done
Which of the following best describes the use of the obedience cues with your dog at home?*

Key part of daily communicationUsed when we got out or have people overUsed occasionally to better control behaviorRarely 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?*

YesNo
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?*

YesNo
Have you ever noticed your dog stopping and staring hard at another dog or animal?*

YesNo
Is there anything else you think we may need to know about your dog?*
How did you hear about Four Paws Academy
Please read, print out and sign the attached Terms of Service and Indemnity Agreement and Release of Liabilty and bring the signed copy with you on your first visit.
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