Daycare & Boarding Intake Form

Owner Name

First NameLast Name

Email:

Cell Phone:

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Are you inquiring for daycare, boarding, or both?

How many dogs do you have? (Only include those who will be attending daycare and/or boarding)

Dog's Name:

Breed:

Date Of Birth:

Gender:

Spayed / Neutered?

How is your dog when in a kennel?

How is your dog when meeting other dogs?

How is your dog when meeting new people?

How is your dog around others when eating?

Does your dog have any particular habits we should know about? This is just so we can help accommodate your dog’s needs during their first visit. (Example: nipping, excessive barking, fearful of men, not house-trained, fearful of loud noises, etc)

Does your dog have any current or past medical conditions we should be aware of? (Example: hip dysplasia, diabetes, cancer, etc)

Check All Vaccinations Your Dog Is Currently Up To Date With:

#2 Dog's Name:

#2 Breed:

#2 Date Of Birth:

#2 Gender:

#2 Spayed / Neutered?

#2 How is your dog when in a kennel?

#2 How is your dog when meeting other dogs?

#2 How is your dog when meeting new people?

#2 How is your dog around others when eating?

#2 Does your dog have any particular habits we should know about? This is just so we can help accommodate your dog’s needs during their first visit. (Example: nipping, excessive barking, fearful of men, not house-trained, fearful of loud noises, etc)

#2 Does your dog have any current or past medical conditions we should be aware of? (Example: hip dysplasia, diabetes, cancer, etc)

#2 Check All Vaccinations Your Dog Is Currently Up To Date With:

#3 Dog's Name:

#3 Breed:

#3 Date Of Birth:

#3 Gender:

#3 Spayed / Neutered?

#3 How is your dog when in a kennel?

#3 How is your dog when meeting other dogs?

#3 How is your dog when meeting new people?

#3 How is your dog around others when eating?

#3 Does your dog have any particular habits we should know about? This is just so we can help accommodate your dog’s needs during their first visit. (Example: nipping, excessive barking, fearful of men, not house-trained, fearful of loud noises, etc)

#3 Does your dog have any current or past medical conditions we should be aware of? (Example: hip dysplasia, diabetes, cancer, etc)

#3 Check All Vaccinations Your Dog Is Currently Up To Date With:

Who is your current vet? Please list somewhere local. if you are new to the area, please list who you intend to use moving forward.

How did you hear about us? We like to thank those that refer us!

Are you applying for our Windham or Nashua location?

Woof Woof Daycare & Boarding

(603)-890-6239

woofwoofdaycare@gmail.com

47 Rockingham Road,

Windham, NH 03087

Emergency contact (someone you are not traveling with)

E-mail

This is a fill in the blanks field. Please add appropriate blank fields and text.

NEW CLIENT APPLICATION FORM

Owner Information

Dog Information

Dog #2 Information

Dog #3 Information