DOG DAYCARE REGISTRATION FORM

DOG DAYCARE REGISTRATION FORM
Please Fill in the whole form
Dog's Name:*
Breed/Type:*
Approx DOB*

MonthDayYear
Date
Male/Female*

MaleFemale
Speyed/Neutered*

YesNo
Date of Spey/Neutering op

MonthDayYear
Date
All dogs over 12 months must be neutered/spayed
Owner name

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail address:*
Address

Street Address

Street Address Line 2

CityCounty

Postcode
Vet Contact Details *

Street Address

Street Address Line 2

CityCounty

Postcode
All dogs are to be fully vaccinated prior to attending day care.

All dogs should be wormed regularly and have up to date flea treatment
Date wormer due:

MonthDayYear
Date
Date vaccinations due:

MonthDayYear
Date
Date flea/tick protection due:

MonthDayYear
Date
Insured with:
If no insurance type N/A
Policy Number:
Renewal Date:

MonthDayYear
Date
Emergency Contact info (in case you get kidnapped)
Name*

First NameLast Name
Tel:
About your dog
How is your dog around other dogs? Pick any of the words below that best describes it.*

DisinterestedMildly CuriousBoisterousPoliteFearfulAggressivePlayfulEasy goingManicDon’t knowOther
Does your dog treat larger dogs and small dogs the same? *
How does your dog react to strangers?*
Does your dog have any fears or dislikes and how does it react e.g. low flying jets/thunder/bangs/postie*
Brief history of your dog e.g. had from puppy/rescue/re-homed*
Please read and agree to these before attending Daycare

Unit 3 Tomich Industrial Estate Muir of Ord IV7 7WA
Our premises are in a quiet area of Tomich Industrial Estate but traffic does come and go past our gate so please have your dog on a lead when dropping off and picking up. We also have a population of rabbits around us and the occasional visiting loose dog. When collecting and dropping dogs off please come and go quietly and calmly. Avoid speaking in high pitched or exciting tones even to your own dog. There are some very large pot holes as you drive in. Beware!
Where did you hear about us?
By signing this you are acknowledging that you have read and agree with all of the above information
Signed*

Clear
Date

MonthDayYear
Date
Please find my privacy policy below
https://www.freeprivacypolicy.com/privacy/view/7e8ad5330edf2392b8c939932f4b13b2
GDPR Privacy Policy*

I have read and agreed the above privacy policy
Should be Empty:

DOG DAYCARE REGISTRATION FORM

About your dog

Please read and agree to these before attending Daycare

By signing this you are acknowledging that you have read and agree with all of the above information