Aloha K9 Training's Muttessori School

Aloha K9 Training's Muttessori School

Application Form
Thank you for submitting your application to Aloha K9 Training's exclusive MUTTESSORI SCHOOL! We are a doggy daycare doing things different!
Our daycare program provides structure and enrichment to benefit all the dog's while they are here, giving them both the physical and mental stimulation they need as well as much needed rest periods.

We only have one play area / play group, so at this time are only accepting small dogs on Mondays & Fridays and medium to large dogs attend Tuesday to Thursday.

Dogs must be between the ages of 7 mos to 7 years old. Dogs who turn 8yrs who are regulars at daycare will be re-evaluated to see if they are still happy attending. Some seniors find it too physically demanding or are just over it, so for their best interest they may age out of daycare.

NOT ALL APPLICATIONS WILL BE ACCEPTED:

We have a very strict screening / daycare policy and not all dogs will be accepted into our daycare program. This does not mean your dog is bad, it just means it is not the right fit for our facility at this time, and we will be happy to discuss training options or other alternatives with you.

We are a small facility, with only one play area and a 20 dog capacity so we must make sure our application and screening process is thorough so we can ensure the safest environment possible for all dogs attending.

Dogs under 40lbs can only attend on Mondays & Fridays.

Dogs 40lbs+ can attend Tuesday - Thursday.

Sorry, we do not accept unneutered males.

PREREQUISITE:

All of the dog's accepted into our exclusive MUTTESSORI SCHOOL must have completed Aloha K9 Trainings Basic Obedience program, or be registered for a class within 4 months of their dogs first day of daycare.
If your dog has not completed or enrolled in our Basic Obedience program within four months of your daycare start date, your dog will be suspended until the class is completed.
This may seem extreme, but this is to ensure the safest environment possible for our staff and the dog's in our care. It also ensures that our human clients have a thorough understanding of dog obedience, they are reinforcing good behaviors at home and will continue to give their dog's structure outside of daycare.

Our training is like no other, therefore we do not accept obedience training you may have done at other facilities. We stand firm behind this policy.

Please be nothing but truthful when filling out this form. If your dog has behavioral problems and you are not truthful the dog won't lie for you. The truth will come out in the play yard and you don't want to be the cause of a dog or staff member being injured because you were not truthful.

It is absolutely okay if your dog is not a fit for doggy daycare! Not all dogs are. We promise you won't be judged or shamed and we can try to find other avenues for your dog to get the exercise and stimulation it needs. Thank you for your understanding of our policies and for your integrity with this application.

We will review your application and contact you to schedule an in person evaluation.
Owner Details
Pet Owner Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dog Information
Dog's Name
Breed
If mixed please list two predominant breeds in behaviour ie: staffy/ lab
Dog's weight (in pounds)
Current Age
______Years & _____Months
Birthday
Gender
Spayed or Neutered?
How long have you owned your dog?
Years & Months
Where did you get your dog?
What knowledge do you have of your dogs past history?
Vaccinations

We do accept Titer Tests
Date of Rabies Vaccination:
Leave blank if dog is under six months of age.
Date of DHPP Vaccination:
DHPP protects against: canine distemper virus, two types of Adenovirus (hepatitis and kennel cough), parainfluenza, and parvovirus.
Date of Bordatella Vaccination:
Please note this vaccine is optional and does not guarantee your dog will not get kennel cough. Like the flu there are strain variations and not all vaccines can protect against.
Date of Titer Test:
We do accept and recommend titer tests as a form of vaccination proof. If your dog has valid titer tests you can submit these over vaccination records.
Dog Personality Profile

Please be as detailed as possible in your explanations.
Has your dog been to a dog daycare facility before? If yes, please tell us where and why you no longer attend.
How did you hear about Aloha K9's MUTTESSORI SCHOOL?
Why are you considering our Muttessori School for your dog? Check all that apply.

Play with other dogsSo not home aloneExhibits signs of separation anxietyExerciseRecommended by other pet professional (trainer, vet etc.)Other
How many days a week will you be bringing your dog? Please specify which days of the week so we can set up your assessment accordingly.
We require a minimum of once a week and maximum of four days a week.
Please explain if answered 'Other' to previous question.
Which of the following best describes your dog's level of socialization withother dogs:

None - No knowledge of other dog interactionMinimal - On leash encounters onlyModerate - Some off-leash playtime on occasion with visitor's/neighbour's/friend's dogs(s)Extensive - Regular visits to dog social events, off-leash dog parks, dog daycare, etc.
Has your dog had any problems previously in an off-leash social environment?

No.Yes, (check all that apply)Altercation or fight at a public dog parkAltercation or fight with a neigbor or friend's dogFearful reaction in a group of dogsDismissed from a prior dog daycare or social playgroup program (complete next question)Other
Please explain if answered 'Other' to previous question.
Only complete if you answered yes to 'your dog was dismissed from a prior program'.

My dog was injured, no medical treatment requiredMy dog was injured and required medical treatmentAnother dog was injured, no medical treatment requiredAnother dog was injured and required medical treatmentA person was injured, no medical treatment requiredA person was injured and required medical treatment
Provide any other comments you want us to know about this situation.
Health History

Please be as detailed as possible in your explanations.
Please describe your dog's flea/tick control and prevention program:
Does your dog have any allergies? If yes, please explain.
Does your dog have any physical disabilities? If yes, please explain disability & cause.
If yes, what restrictions need to be placed on your dog's activities or movements?

No runningNo jumpingNo hard playNo contact with other dogsOther
Please explain if answered 'Other' to previous question.
Does your dog have any medical conditions? If yes, please explain. If medication is used to control the condition, please provide name and dosage.
Does your dog have any medical conditions? If yes, please explain. If medication is used to control the condition, please provide name and dosage.
Provide details of your dog's diet:
On what type of surface does your dog generally go to the bathroom (e/g/ grass, mulch, pee pads etc.)
Does your dog have any bathroom related issues or concerns?
How often do you brush or comb your dog's coat?
How does your dog react to having his/her nails clipped?
Does your dog like to be brushed? If no, what have you tried to make it more enjoyable?
Where are your dogs favourite petting spots?
How frequently is your dog walked outside?
How long are your walks?
Check the box that best represents your dog's overall level of exercise routine:

Couch Potato: Spends days sleeping, occasional walks and/or playtime with humans or other dogs.Mild ExerciserL Short daily walks and/or regular playtime with human or other dogs.Moderate Exerciser: Long or multiple walks daily and/or regular playtime with human or dogs.Athlete: Regular jogs/runs and/or regular participation in a dog sport activity such as agility, flyball, frisbee, etc.
Household Information

Please be as detailed as possible in your explanations.
Please provide details about any other dogs in the house?
Breed, Age, Sex, spayed/neutered.
Do you have cats? If yes, how many do you have?
How does your dog get along with your cats?
How does he react to unfamiliar cats he sees on walks?
Does your dog like children?
How does your dog behave around children?
How does your dog get along with other household animals?
Do any visitors bring their dog(s) to your house?
If YES, how do they get along?
How does your dog react to a stranger coming into your home or yard?
Does your dog ever 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 dog seems to automatically fear or dislike?
If Yes, please describe.
How does your dog react to puppies?
How does your dog react to another dog approaching him/her in a park, at the beach, or on a walk?
Does your dog play with other dogs?

YesNo
If yes, which type?

Males and femalesMales onlyFemales only
Please describe size, breed & temperament of the other dogs.
.
What kinds of games does your dog play with other dogs?
.
Has your dog ever shared his/her food or toys with other animals? If YES, how does your dog react to another dog approaching his/her food or toys?
.
Which commands does your dog know? Check all that apply.

SitDownStayComeHeelRolloverKissesHigh FiveOther
List any other commands your dog knows here:
How did your dog get his/her obedience training? Check all that apply.

Attended puppy classPrivate sessions in homeAttended more than one level of group classes (basic, intermediate, etc.)Dog was sent to a board and train programOther
Where / who did your dog do their obedience training with:
Which of the following best describes the use of obedience cues with your dog at home?

Key part of daily communicationRarely usedUsed when we go on walks or have people overNot applicableUsed occasionally to better control behaviour
What kind of collar do you use to walk your dog?

BuckleHead collar (ie: Halti / Gentle Leader)Chain Choke CollarProng / PinchHarness - Leash clips on backHarness - Front ClipMartingale (check choke)Prong/PinchOther
Is it effective in keeping him/her under control?

YesNo
Has your dog ever gotten away from someone when out for a walk?
If YES, please explain circumstances.
Is your dog crate / kennel trained? Please note: we require all dogs to be crate trained for daycare.

YesNo
Where does your dog sleep?

Inside the houseOutside the houseInside/Outside - varies
In which room of the house does your dog sleep?
Where in the room does your dog sleep?

In a crateDog bed on the floorOwner's bedCouchOther
Has your dog ever jumped up on someone?
If YES, what were the circumstances?
How does your dog act when you get home at the end of the day?
What does your dog do to show he/she is happy?
What does your dog do to show he/she is upset?
Is your dog allowed on the furniture at home?

YesNo
Does your dog have problems in any of the following areas? If yes, please explain.
Does your dog know any tricks? If YES, please describe.
Dog Behaviour Information

Please be as detailed as possible in your explanations.
Are there any particular types of people your dog seems to automatically fear or dislike?
Has your dog ever growled at someone? If YES, what were the circumstances and how did you respond?
Has your dog ever bitten a person? If YES, what were the circumstances and how did you respond? Please describe injuries (if any).
Has your dog ever bitten another animal? If YES, what were the circumstances and how did you respond? Please describe injuries (if any).
To the best of your knowledge, what does your dog do when you're not at home?
Has your dog ever climbed/jumped a fence? If YES, what were the circumstances? How high was the fence?.
Has your dog ever escaped from your house / yard? If YES, please explain the circumstances?
How would you describe the energy level of your dog?

LowMediumHIgh
Has your dog ever chased or tried to chase a small animal? If YES what were the circumstances?
Has your dog ever chased someone (or wanted to) on a skateboard or bicycle? If YES what were the circumstances?
Is your dog frightened by thunderstorms? If YES, describe typical behaviour & what specifically helps to relax your dog or calm his/her fear?
Is your dog frightened or nervous around anything else? If YES, please explain?
Does your dog play with any toys? If YES, what kinds of toys does your dog like?
Has your dog ever growled or snapped at a person who has taken food or toys away from him/her? If YES, what were the circumstances and how did you respond?
Has your dog ever growled or snapped at another dog who has taken food or toys away from him/her? If YES, what were the circumstances and how did you respond?
Have you ever noticed your dog stopping and staring at another animal? If YES, what were the circumstances?
Does your dog have a bite history? If yes, please explain.
Has your dog been in a dog fight before? If yes, please explain.
Has your dog been off leash with other dogs? (dog park, friends dogs etc.)
How is your dog with other dogs? (reactive, submissive, plays rough/gentle, carefree etc.)
How is your dog with toys? (possessive, destructive, eats them etc.)
How is your dog with toys around other dogs? (ie: possessive, growls, plays well, ignores other dogs etc.)
Does your dog have any fears or behavioural issues? (ie: dog, human or food aggression or reactivity, anxiety, poop eater, fence jumper, digger, escapee, shy, fearful, etc.)
Please answer these questions with integrity.
Does your dog have any medical or dietary concerns or physical limitations?
Have you and your dog completed Aloha K9 Trainings Basic Obedience Program - group or private lessons.
If you answered No to the previous questions, do you agree to register for our basic obedience class within four months if accepted into our daycare?
Pet's Veterinary Clinic
Clinic Phone Number

Area CodePhone Number
Date of application

MonthDayYear
Date
Name

First NameLast Name
Signature

Clear
Thank you!

Thank you for the time you spent completing this application form. We look forward to meeting you and your dog on evaluation day. Please contact us if you have any questions on the next steps of the evaluation process.
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Aloha K9 Training's Muttessori School

Owner Details

Dog Information

Vaccinations

Dog Personality Profile

Health History

Household Information

Dog Behaviour Information

Thank you!