Playful Paws Doggy Daycare
Human’s Information Date:______
Name: ______Address: ______City: ______Postal Code: ______
Home Phone: ______Work Phone: ______
Cell Phone: ______Email Address______
Where did you hear about us? We like to reward our referrals!!______
Emergency Contact Information
Note: Emergency Contact should be someone who is capable of picking up your dog in your absence
Name: ______Phone: ______Relationship: ______
Vet’s Name: ______Phone: ______
Vet’s Address: ______
Dog Profile
Dog’s Name: ______Dog’s Sex: ______Spayed or Neutered?:______
Dog’s Breed: ______Dog’s Age: ______Birthday: ______
What is your main goal for your dog’s attendance at daycare? (socialization, human company, exercise, etc)
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Is your dog mouthy or does he nibble on you? Y / N Is your dog house trained? ______
Does your dog bark a lot? Y / N Does your dog have any food allergies? ______
Does your dog take any medications? Y / N If so, for what? ______
How often? ______
Does your dog have any past injuries or any current conditions? ______
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Does your dog dig? ______Is your dog frightened by any noises? ______
Is your dog frightened around anything else? ______
What happens when you or somebody else tries to take food or toys from your dog? ______
Is there a specific breed your dog does not get along with? ______
Does your dog prefer to play with any specific breed or size of dog? Male vs. Female? ______
Has your dog had obedience training? Y / N
What commands does your dog know? ______
Does your dog have a bathroom command? ______
Does your dog have any sensitive areas on their body? ______
Does your dog have any issue with their collar being handled? Y / N
Where does your dog like to be petted? ______
How does your dog react to strangers?______
Are there any types of people that your dog automatically dislikes or fears?______
How does your dog react to puppies? ______
Rate your dog’s energy level “1” being very mellow and “10” being a total uncontrollable spaz______
Does your dog show any destructive behaviors when you aren’t at home? ______
Is your dog aggressive on leash?______Off leash?______
How often do you walk your dog?______
Does your dog jump up on you? Y / N On others? Y / N
Has your dog ever bitten anybody? Y / N
If yes, what were the circumstances? ______
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Has your dog ever jumped or climbed over a fence?______How high was it?______
Is there any other information you feel is necessary for us to provide a safe and fun experience for your dog at the daycare? ______
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6120 No. 5 Rd., Richmond, BC
Phone (604) 244. 9464