Dog Montessori School Application for Admission
Instructions:
We aim to get to know you and your dog, and we aim to be thorough, so please be prepared to spend
15-20 minutes
(depending on the length of your answers) completing this application
For households with multiple dogs, you'll need to complete the application
again
for any second/additional dog(s)
You will be asked to upload a pdf or take a photo of your dog's recent
vaccination records
showing proof of vaccination against rabies, bordetella, distemper, leptospirosis, and dog influenza
We maintain social pods based on size, temperament, play style, and activity interests, so we do sometimes fast track applications based on specific availbility, so
please answer questions honestly!
It will take us about
1 to 3 business days to review
new applications, and if we have any space we schedule first day behavior assessments typically within two weeks, or add you to the
waitlist
If you have any questions or difficulties, give us a call
Parent / Guardian Contact Information
Parent/ Guardian NAME
*
First Name
Last Name
Parent / Guardian PHONE
Please enter a valid phone number.
Parent/ Guardian EMAIL
*
example@example.com
Co-Parent / Co-Guardian NAME (if any)
First Name
Last Name
Co-Parent PHONE (if any)
Please enter a valid phone number.
Co-Parent / Co Guardian EMAIL (if any)
example@example.com
Emergency Contact NAME (cannot be a Parent or Guardian)
*
First Name
Last Name
Emergency Contact PHONE
*
Please enter a valid phone number.
Emergency Contact EMAIL
example@example.com
Application Type/ Number
This is application 1 of 1 ( I have only one dog I want to apply to school for)
This is application 1 of 2 ( I have two dogs I want to apply for, and this is the application for the first dog)
This is application 2 of 2 ( I have two dogs I want to apply for, and this is the application for the second dog)
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Dog Student Information
Dog Name
*
Dog Breed (or closest mix)
*
Example: "Golden Retriever" or "Lab Mix"
Dog Sex
*
Spayed Female
Neutered Male
Intact/Unaltered Female
Intact/Unaltered Male
Option 1 of 2 for Dog Photo: Take Photo
Option 2 of 2 for Dog Photo: Upload a Photo
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Description of Dog Color / Markings
*
Examples: "red" might be for Irish Setter, or "tri-color" might be for a Beagle or "blue" might be for a French Bulldog
Dog Weight (lbs)
*
Dog's Approximate Age
Young Puppy 8-12 weeks old
Young Dog 12 weeks to 6 months
Adolescent Dog 6 months to 1 year
Adult Dog 1 year to 12 years old
Geriatric Dog older than 12 years
Dog Date of Birth
*
-
Month
-
Day
Year
Date or Closest/Best Guess
If the dog happens to have an Instagram account, feel free to share it:
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School Specific Questions
Which location would you prefer to attend?
*
Brookland Location
Columbia Heights Location (for small dogs under 25lbs)
If accepted, how soon would you like your dog to attend?
*
I'm doing research right now and am still gathering information to make a decision
I'm flexible
As soon as possible
How often do you think they would benefit from attending?
*
Multiple Times Weekly
Not Multiple Times, but at least once Weekly
Not Weekly, but at least once monthly
Sporadically or less than monthly
What do you think would be the preferred days of the week to attend school?
*
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
In a few words, what are your goals for your dog at Dog Montessori School? Why do you want to enroll them at our school?
*
In a few words, what are your dog's interests? If given choice, how would they spend their day if it was up to them? What do they really seem to enjoy? Favorite activities? What are they doing when they seem most engaged, enthused, happy?
*
What are the factors that are most important to you when choosing a school for your dog?
Not at all important
Not Important
This is not factored at all when making my choice (N/A)
Important
Very important
Customer Service Quality
Cleanliness
Responsiveness
Customer Service Response Time
Overall Cost / Price
Value for the Money Spent
Professional Training of the Staff
Company Safety Record
Company Safety Practices
Company Reputation
Convenience of Location
Convenience of Service Times
My dog's enjoyment / experience as the student
My experience as the parent/ guardian customer
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Dog Student History
How long has the dog been in your family?
*
Less than two weeks
More than two weeks
A year or more
Several Years
Has the dog been to a dog day care environment before while part of your family?
*
No
Yes
How many unique dog day care environments has the dog been to while part of your family?
*
0
1
2
3 or more
In a few words, how would you describe your dog's personality toward interactions with other dogs who are not in your household?
*
In a few words, how would you describe your dog's personality toward interactions with humans who are not in your household?
*
Does the dog have any training for tricks, special talents, or basic manners?
*
Yes, some basics (including home taught)
Yes, intermediate to advanced (including home taught)
None
Has the dog ever bitten a human under any circumstances?
*
Yes
No
Has the dog ever bitten another dog and broken skin under any circumstances?
*
Yes
No
Has the dog ever received any services from a from a dog trainer or behaviorist for the purpose of addressing or unlearning undesirable / unwanted behaviors?
*
Yes
No
If you answered YES to any of the last four (4) questions, please provide details:
What tricks or special talents? And/or what were the circumstances of the bites? And/or what are the names of the trainers/behaviorists?
Is the dog house trained?
*
99% of the time
80-99% of the time
Less than 80%
Not Yet
In your opinion, how would the dog react in the situation of 1 hour of structured down time in a nap condo during the lunch hour (with a bed, water, and appropriate toy/puzzle/entertainment and no distractions)?
*
The dog cannot tolerate any confinement and would be very upset
The dog would reluctantly tolerate confinement, but would likely bark or whine a lot
The dog might whine a bit at first, but would settle down within a few minutes
The dog would love an opportunity to take a nap, or probably wouldn't mind at all
I don't know
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Dog Student Medical History
In a few words, how would you describe your dog's overall health, generally speaking?
*
Does the dog have any allergies to anything that, if exposed, would likely cause death?
*
Yes
No
Does the dog have any sensitivities or intolerances that, if exposed, might make the dog feel unwell, but likely would not cause death?
*
Yes
No
Does the dog have any chronic, ongoing medical conditions or infirmities of any kind?
*
Yes
No
Is the dog taking any medication now (short term) or regularly (long term)?
*
Yes
No
Is the dog covered by a pet insurance policy?
*
Yes
No
What is the name of your preferred veterinarian in the DC area?
*
Example: "Clarendon Animal Care" or "Doctor Dan at District vet" or "none" if you're new to town
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Disclosure of Risks and Permission to Treat
Please state that you understand the inherent risks of sending your dog to a professional dog school, and that while every effort will be made to keep your dog safe, it is possible they could sustain an injury or catch an illness through routine participation in day to day activities at the school?
*
Yes, I understand and accept the risk as a condition of enrollment
No, I do not accept this reality as a condition of enrollment
In the event of a life-threatening medical emergency, do we have your permission to have the dog treated and stabilized at a veterinarian?
*
Yes, always
Yes, but not until I a can be reached
Yes. but not until I or my emergency contact can be reached
No
In the event of required treatment for a life-threatening medical emergency, do you understand and accept that you will be responsible for the costs of said treatment?
*
Yes
Yes, but I would like to set a limit for how much can be spent if I cannot be reached
I do not accept
Dollar Limit of Medical Treatment Liability in the Event my dog is Injured and I cannot be reached:
*
example: "100" would be $100 dollars
Legal Guardian / Parent Signature:
*
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Proof of Vaccination Upload
Option 1 of 3: File Upload for Proof of Vaccination
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Option 2 of 3: Take a Photo of your Dog's Vaccines
Option 3 of 3: Email Copies of Vaccinations to
dayschool@patrickspetcare.com
I have submitted vaccinations through 1 of the above 3 options
*
Yes
No
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What's your preferred method for us to follow up with you about the application?
Voice (phone)
Scheduled virtual meeting (Zoom)
Text
Email
Other
Do we have anyone to thank for referring you to us? Where did you hear about us?
Is there anything else you'd like to mention or that we left out?
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