The Dog Manor Registration Form
Please fill out the form entirely, one for each pet.
Your Phone Number
Your Dogs Name
Your Dogs Approximate Weight
Your Dogs Breed
When was your dog born
Do you have pet insurance
What is their insurance number?
What is your pets MicroChip number?
Please nominate a local Emergency Contact. Please provide Name, Address and Number
Your Vets Details
In case of an emergency
Your Vets Name
Your Vets Contact Number
Your Vets Address
Street Address Line 2
State / Province
Postal / Zip Code
Do you give us permission to contact them in case of an emergency? (we will always contact you regardless)
Your Dogs Medical History and Information
If your dog has any medical conditions, has he/she been cleared by a Veterinarian?
Is your dog routinely vaccinated?
Which flea and tick preventative do you use?
If None, type None
How old was your dog when they were spayed?
If never, type Never
Does your dog have or have they had any of the following conditions?
Does your dog have any allergies or skin conditions?
If None, type None
Are there any places your dog does not like to be touched?
If None, type None
Personality, Preferences and Past Experiences
Which 3 adjectives best describes your dogs personality?
Which best describes your dogs energy level?
Which categories of dogs does your dog interact consistently well with?
How would you describe your dog's play style?
King of the hill
Likes to be chased
Likes to chase others
Tug of war
How would you describe your dog's play style with PEOPLE?
Tug of War
Are there any types of PEOPLE that your dog dislikes? Please explain.
If Not, type None
Has your dog ever bitten anyone?
Please tell us about any altercations/fights your dog has had when interacting with other dogs or people:
No Altercations or Fights
Altercations/ Fights But No Injuries
Dogs/People injured. Medical Treatment NOT Needed
Dogs/People injured. Medical Treatment Needed
In the Neighborhood
At a Friend's House
At the Vet, in a Store or Park
Off-Leash at a Dog Park
At Another Dog Daycare
Are there any categories of dogs your dog automatically dislikes?
How does your dog initially act in these situations:
Meeting a new dog at the Vet, pet store or park
Greeting a puppy
Greeting a small group of dogs (2-3)
Greeting a large group of dogs (4+)
When another dog takes food. toys or a prized object
Watching a person with lawn equipment or a bicycle
How does your dog initially act in these situations:
Greeting a stranger in Public
Interacting with Vet or Vet Tech
When a person reaches for your dog's collar or head
Being touched or approached with owner present
When hugged or lifted
When a person takes food, toys or prized objects
Interacting with other family dogs
Passing a calm dog on a leash
Passing an excited or barking dog on a leash
At a dog park or other social setting
How does your dog show that he/she is happy?
How does your dog show that he/she is upset?
Which obedience commands does your dog respond to consistently?
Does your dog have any problems in the following areas:
Jumping/Mounting other dogs
Eating rocks/foreign objects
Has sensitive paws
How much experience has your dog had with other dogs?
Has your dog ever stayed in a crate?
Is your dog safe in a crate?
Does your dog stay in a crate overnight?
Has your dog ever gotten away from you when out for a walk or escaped from the house/yard?
If Yes, how did you get your dog back?
Can your dog swim?
Yes, like a Pro
Yes, but not a fan
If your dog has been swimming, please tell us which settings he/she is comfortable:
Lake or Pond
In the Ocean
Is your dog afraid of any of the following?
Most Loud Noises
Typical walking routine
Is your dog lead trained?
How many times per week would you typically walk your dog?
How long might these walks be?
The Dog Manor
Products and Services
Which of our programs or services are you most interested in for your dog?
Dog Daycare/Group Play
Social Skills Development
How would you like to see your dog benefit from our Doggie Daycare/ Dog Boarding?
Have a great time playing with other dogs
Get lots of exercise
Learn group play manners
Become less fearful of other dogs
Take the edge off his/her boundless energy
Become less fearful of people
Not have to be home alone
Has your dog ever attended another doggie daycare?
Just a few more simple questions
Please provide other comments or information about your dog that you feel might be helpful:
Are there any Specific Boarding or Daycare Requirements that we should be aware of?
How did you hear about us?
From my Vet
Word of Mouth/From a Friend
If referred by a friend, please tell us who so we can thank them:
Thank you for registering with The Dog Manor
The next and final part of our registration form is regarding 'Consent'. It is important that you read, understand and consent to them as this forms the basis of all operations at The Dog Manor.
Consent and Terms
Please do take your time and read carefully. This is the final stage of registration and the most important 'formal' aspect to our boarding, daycare, training and socialisation of dogs. Please tick each box that you FORMALLY CONSENT to.
In relation to the structured exercise of your dog; I FORMALLY CONSENT TO MY DOG
Being walked on a lead, on a designated route twice daily for 20 minutes.
Being walked with other dogs that are on or off leads.
Wearing a The Dog Manor tag whilst out walking.
Following the Daily Routine Card provided by The Dog Manor.
Being lead handled by any members of staff at The Dog Manor.
In relation to children and babies in the company of your dog; I FORMALLY CONSENT TO MY DOG
Playing indoors with children and babies in the company of supervising adult.
Playing outdoors with children and babies in the company of a supervising adult.
Boarding in the same home as children and babies.
Roaming freely off the lead amongst children and babies.
By consenting to points relating to 'children and babies' you hereby confirm that your dog is suitable to be around children and babies. That no harm will come to them.
In relation to structured environmental enrichment; I FORMALLY CONSENT TO MY DOG
Playing, exploring and learning within the rural ground of The Dog Manor; including but not exclusive too, bushes, trees, grass, gravel and wild grounds. In full knowledge of the surroundings such as the rail line, open fields and fence height.
Playing, exploring and learning, in, around or on agility equipment.
Playing, exploring and learning or taking part in activities in The Dog Manors private studio.
Relaxing, amongst the internal grounds (such as watching TV or having a cuddle) with The Dog Manor staff and their family. Including Children.
Playing, exploring and learning with various toys such as tennis balls or chew toys.
In relation to none structured exercise/ free play; I FORMALLY CONSENT TO MY DOG
Freely, whilst supervised, roaming the enclosed areas within The Dog Manor in full knowledge of the surroundings. Particularly in knowledge of the rail line, open fields and height of all fencing.
Freely, whilst supervised, roaming the internal 'downstairs' of The Dog Manor.
Freely, whilst supervised, playing with other dogs either inside The Dog Manor or within their enclosed grounds.
Freely roam all grounds of The Dog Manor with prior knowledge and acceptance of the suitability of the fence height.
In relation to interactions with others: humans, dogs or other animals; I FORMALLY CONSENT TO MY DOG
Openly meeting multiple people within the structured setting of The Dog Manor.
Openly meeting multiple dogs within the structured setting of The Dog Manor.
Openly meeting other animals whilst within the structured setting of The Dog Manor.
Openly meeting other people, dogs and animals whilst out on specific walking routes.
In relation to feeding; I FORMALLY CONSENT TO MY DOG
Being fed by a member of staff at The Dog Manor. As per their routine card, or as specifically advised by me, the owner.
Being fed alone, separated from other dogs, with their own bowl for period of 30 minutes.
Only eating the meals provided by me (the owner).
Only eating treats provided by me (the owner), unless expressly otherwise permitted in writing.
If sleeping as a family (multiple boarding dogs from the same home); I CONSENT TO MY DOG eating in the same room as MY OTHER DOG.
In relation to sleeping; I FORMALLY CONSENT TO MY DOG
Sleeping separately from other dogs, within their own room.
Sleeping in a crate provided by myself (the owner)
Sleeping through the night 21:00 - 07:00, unless otherwise advised in writing or specific dog needs are required (such as young puppies or dogs with conditions).
If sleeping as a family (multiple boarding dogs from the same home); I CONSENT TO MY DOG sleeping in the same room as MY OTHER DOG.
In relation to welfare; I FORMALLY CONSENT TO MY DOG
Having a daily welfare check by a suitably qualified members of staff at The Dog Manor.
Being monitored daily and appropriate records or this kept.
Being given any medication provided by me (the owner) as per my exact instructions.
In relation to emergencies of the home or staff of The Dog Manor; I FORMALLY CONSENT TO MY DOG
Being placed under the immediate care of another reputable dog boarder should a licence revocation be made.
registration and booking form being made available to our emergency key holders and handlers.
In relation to dog welfare emergencies; I FORMALLY CONSENT TO MY DOG
Being given emergency vet treatment. Preferably by my (the owners) own Vet but in the instance of their unavailability: The Dog Manors own Vet.
Should be Empty: