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Dog Banner

Guest Application & Waiver

Owner Information


Pet Information


Vet & Vaccines

A copy of Vaccinations will be required upon first visit.


Medications

Times Per Day
  A.M.         Noon         P.M.      

Times Per Day
  A.M.         Noon         P.M.      

Times Per Day
  A.M.         Noon         P.M.      

Times Per Day
  A.M.         Noon         P.M.      


Diet

Times Per Day
  A.M.         Noon         P.M.      

Food Type
  Kennel         Owner         Solid         Wet         Special      


Dog Survey

Have you ever used Doggy Day care / Overnight boarding services?
  No         Yes      

Do you frequent dog parks?
  3 - 5 times per week         Weekly         Once a month         Never      

What are your primary reasons for bringing your Dog to Lucky Dog Daycare?
  Loves to Play
  Travel Extensively
  Work Long Hours
  Dog Needs a Vacation
  Doesn't like to be Left Alone


Canine Questions

Is there any PERSON, type of DOG, or SITUATION your dog seems uncomfortable with?
  No         Yes      

Please Check Any Problems That You Are Currently Having With Your Dog
(Check All That Apply)

  Chewing
  Mouthing
  Nipping
  Jumping on People
  Jumping on Furniture
  Pulling on Leash
  Excessive Barking
  Digging Holes
  Runs Away
  Not Coming When Called
  Stealing Food/ Objects
  Begging
  Mounting
  Eats Stool
  Chases Cars
  Chases Bikes/ Strollers/ Joggers
  Fearful of Noises
  Urinates When Excited
  Not Housebroken Yet


Please Tell Us About Your Dog:
(Check all that apply)

Has your dog ever jumped or climbed a fence?
  Yes         No         I'm Not Sure      

Does your dog have separation anxiety issues?
  Yes         No         I'm Not Sure      

Does your dog get along well with other dogs?
  Yes         No         I'm Not Sure      

Does your dog get along well with puppies?
  Yes         No         I'm Not Sure      

Take Toy Away
Barks       Snarls       Growls       Snaps       Bites       I'm Not Sure       No Problem      

Take food away
Barks       Snarls       Growls       Snaps       Bites       I'm Not Sure       No Problem      

Approach him/her when eating
Barks       Snarls       Growls       Snaps       Bites       I'm Not Sure       No Problem      

Introduce him/her to another dog
Barks       Snarls       Growls       Snaps       Bites       I'm Not Sure       No Problem      

Introduce him/her to new people
Barks       Snarls       Growls       Snaps       Bites       I'm Not Sure       No Problem      

Introduce him/her to new situations
Barks       Snarls       Growls       Snaps       Bites       I'm Not Sure       No Problem      

Gets a bath/nail trim
Barks       Snarls       Growls       Snaps       Bites       I'm Not Sure       No Problem      

Medical Background: (Check all that apply)
  UTI (urinary tract infection)
  Seizures
  Ear Infections
  Anxiety/Anxiety Attacks
  Heat Stroke
  Limping
  Eye Secretions
  Eye Infections
  Cronic Diarrhea