Ashland Doggy Daycare Dog Personality Form
Owner's Name
First Name
Last Name
Dog's Name
Birthdate (or date you would like us to celebrate their birthday):
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How long have you owned your dog?
Where did you get your dog?
Rescue
Breeder
Adopted (Shelter)
Other
Emergency Contact
First Name
Last Name
Emergency Contact Phone Number
-
Area Code
Phone Number
Tell Us About Your Dog
The following questions will help us place your dog in the correct playgroup
Why are you interested in having your dog participate in Doggy Daycare? (check all that apply)
To play with other dogs
Exercise
So my dog is not home alone
Other
Do you feel that your dog has separation anxiety?
If YES, please explain.
What is your dog’s level of socialization with other dogs?_
None (that you are aware of)
Minimal (has met other dogs on a leash)
Moderate (has played with family/friends/neighbors dogs off-leash)
Extensive (Regularly plays in another daycare, dog park, social event, etc.)
Other
Has your dog been in a doggy daycare before?
Yes, my dog is a doggy daycare regular
Yes, but only a few times
No, my dog has never been in a doggy daycare
May we give your dog treats?
Yes
No
Only treats from home
Does your dog have any allergies (medical, environmental, food)?
List any allergies your dog has
Any medical or physical disabilities and/or sensitive areas to body?
If YES, please explain
Is your dog on any medication?
If YES, please list all medications
Are there any restrictions we should know for your pet?
If YES, please explain
Any pottying issues or concerns we should watch for?
If YES, please explain
Does your dog dislike or fear any breeds/types of dogs?
If YES, please list breeds/types
Are there any types of dogs your dog would prefer NOT to play with? (select all that apply)
Not applicable (you don’t know)
small/medium dogs
Large/XL dogs
Male
Female
Other
What is your dog's favorite toy or game?
Has your dog ever had any of the following problems playing off leash? (check all that apply)
fearful, nervous
altercation with another dog at home
altercation with another dog at friend's/neighbor's/etc
altercation with an injury to a person
altercation with an injury to a pet
Other
Submit
Should be Empty: