Dog Daycare Enrollment Form

Located in East Peoria, Illinois
Dog Daycare Enrollment Form

Your dog is giving you two paws up and a woof-woof for doing this
IMPORTANT: Please read before completing enrollment form.

We require weekly attendance (or more) year-round. Our program's success is based on regular attendance by all it's members.
Pet Parent #1*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Employer
Pet Parent #2
Phone Number
Please enter a valid phone number.
Email
example@example.com
Employer
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Play All Day will always use reasonable efforts to contact Pet Parents in the case of illness or injury. If Pet Parents cannot be reached, Play All Day is authorized to make appropriate decisions regarding Veterinary care.
Name of Dog (First and Last Name)*
Breed/Breed Type*
Color*
Sex*

FemaleMaleSpayed FemaleNeutered Male
We do accept intact male & female dogs. If your dog is not spayed/neutered, do you have plans for this in the future? *
Dog's weight currently. And if puppy, what is expected adult weight?*
Dog's Age*
Date of Birth*

MonthDayYear
Date
Date of Adoption*

MonthDayYear
Date
Please list any other household pets in your home. Include breed, age, and how this dog gets along/interacts with them. *
What is the primary reason you are seeking daycare at this time?*
Please add any additional comments on why you are seeking daycare.
Please describe in detail, your dog's socialization with other dogs. What dogs do they see/play with? On-leash/off-leash? Is your dog excited, scared, happy, over -excited during these interactions? What role do they play in these interactions (instigate play, roll over on back, chase, invite chase, wrestle, etc)?*
Has your dog had problems in an off-leash social environment?*

NoYes
If yes, what were the issues? Were there injuries? *
Is your dog currently attending daycare or have they ever attended daycare?*

NoYes
If yes, please explain your experience and what feedback you received from the daycare regarding your dog's playstyle and behavior.
Has your dog been dismissed from dog daycare in the past*

NoYes
If yes, please explain further.
Is your dog comfortable in a crate?*

NoYes
If no, please explain.
Other comments or information about your dog that you feel might be helpful for us to know?*
Signature

Clear
Thank you for taking the time to fill this form out completely. The information helps us to shape your dog's experience and sets the stage for success. We do realize the form is long and we appreciate your efforts.

You should hear from us within 24 hours of submitting this form. We will contact you by email to set up the next steps in getting your dog started in daycare. Be sure to check your email and if you do not see us, check your Spam. If nothing there, please do follow up with us.
For Office Use Only:
If multiple parents, please note first contact
Who is their vet?
Who is their emergency contact?
If two different last names which do they prefer we use?
How did they hear about Play All Day?

Referral from existing clientLocal Business Referral (Vet or Groomer)Social MediaInternet search for Dog DaycareOther
Did a current client refer them?
Has their dog ever escaped a fence enclosure?
Has their dog ever growled at another person?
Has their dog ever bitten a person?
Has their dog ever growled at another dog?
Has their dog ever bitten another dog?
Status
Reason for non-clients (if applicable)
Returning Date

MonthDayYear
Date
Returning Reason
Returning Reason "Other" Details
Leaving Date
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Exit Reason
Issues with us (if applicable)
Day1
Group1
Day Group Combo 1
Day2
Group2
Day Group Combo 2
Day3
Group3Type a question
Day Group Combo 3
Notes
Does their dog have any food allergies?
Does their dog have any physical disabilities?
Does their dog have any medical issues?
Should be Empty:

Located in East Peoria, Illinois

Dog Daycare Enrollment Form

IMPORTANT: Please read before completing enrollment form.

Play All Day will always use reasonable efforts to contact Pet Parents in the case of illness or injury. If Pet Parents cannot be reached, Play All Day is authorized to make appropriate decisions regarding Veterinary care.

Thank you for taking the time to fill this form out completely. The information helps us to shape your dog's experience and sets the stage for success. We do realize the form is long and we appreciate your efforts.