Name

Phone Number

Address

Alternative Contact (Emergency)

Alternative Contact Phone:

Dog’s Name

Breed

Date of Birth / Age

Gender

Male Femaie

Spayed/Neutered?

Yes No

Current Weight (kg)

Microchip Number

Veterinary Clinic

Clinic Phone Number

Clinic Address

Does your dog have pet insurance?

Yes No

If yes, insurance provider

Policy no

Is your dog vaccinated against rabies?

Yes No

Any past or current medical conditions?

Yes No

If yes, please give details

Allergies (Food, Environmental, Medication)?

Yes No

If yes, please specify

Current Medication

Yes No

If Fido’s need to administer please provide name & dosage:

How does your dog interact with other dogs?

Friendly Cautious Aggressive Fearful

How does your dog react to new people?

Friendly Shy Nervous Protective

Has your dog ever shown aggression toward people or other dogs?

Yes No

If yes, please explain

Any known fears (e.g. loud noises, separation anxiety)?

Yes No

If yes, describe

Has your dog ever been in a daycare setting before?

Yes No

If yes, please give details

Feeding Schedule

Morning Afternoon Evening

Food Brand/Type

Portion Size

Special Dietary Requirements?

Yes No

If yes, specify

Do you give Fido’s permission to give your dog treats?

Yes No

Preferred Activities

Fetch Tug-of-War Running Socialising

Other, please advise

Favourite Toys/Games

Can your dog be walked off-lead?

Yes No

Does your dog have good recall?

Yes No

Do you give permission for your dog to be walked off-lead in Regent’s Park?

Yes No

Permissions & Liability Waiver

I confirm that the information provided is accurate to the best of my knowledge. I understand that dog daycare involves group play, and while every precaution is taken,minor injuries may occur. I give permission for my dog to participate in supervised group play. In the case of an emergency, I authorise the daycare to seek veterinary care for my dog. I accept full responsibility for any veterinary expenses.

Grooming

Yes No

Daycare

Yes No

Boarding

Yes No

Wellness

Yes No

GDPR

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