Doggy Daycare Application Form

Please note: Filling out this form does not guarantee a place in the Doggy Daycare. Your dog must complete an induction day.

Your Full Name*

Your Email*

Your Phone*

Address*

Dog's Name *

Breed*

Sex*

Spayed/Neutered*

Age*

Where did you get your dog?

Vet Information

Vet Practice*

Phone Number*

Email

example@example.com

Address

Dog Medical and Health

Kennel Cough*

Date Received

5 in 1 (Dhppv, Distemper, Parvo etc)*

Date Received

Flea/Worms Treatment*

Date Received

Medical Condition, please specify

e.g. hips/joints, advice from vet

Recent/Current Injuries

Please Detail

Any Medication

Please Detail

Allergies/Food Sensitivity

Please Detail

Dog Behaviour

Typical day for your dog; home alone, how long do they sleep etc*

Are you happy with your dog being given treats?*

Has your dog ever

Escaped from your propertyReacted aggressively around foodGrowled at someoneBitten someone

If yes, please give detail

Socialization*

Very friendly straight awayShy but warms up quicklyVery anxiousOther

How does your dog behave around strange dogs? Check all that apply:*

Runs up to them to playGreets appropriately (nose to tail sniffing)Stares the other dog down and may stiffen musclesSeems submissive or scared of other dogsOther

How does your dog behave around other dogs and high value food, treats or toys? Check all that apply:*

Lets the other dog take it.Muscles tense when other dog approaches, protects item.Gobbles the food faster.Growls at the other dog.Bares teeth at the other dog.Seems very carefree and unconcerned about holding onto food or toys when other dogs are around.Other

Housetraining?*

Not housebroken at allCrate trainedPartially housebroken, but doesn't know how to tell you when needs to go outsideSolidly housebroken, will bark or pace or scratch door to go outsideNew arrival. Just started training.Other

Car rides?*

Any additional comments regarding temperament that haven't been covered by the questions above?

Any past or current health issues? Please describe and include treatment given if any.

Daycare

Treats and toys your dog likes and dislikes

Will your dog be due a meal at daycare? What time?*

You will need to provide a daily portion at each visit

Do you give permission for pictures of your pet to be used on social media?

YesNo

Frequency ( 1-3 times per week) *

Preferred Days

Estimated pick up and drop off times

Terms and Conditions

Please read carefully and sign

Liability

I (the owner) confirm to The Dog House that I am the legal owner of my dog(s); that my dog has not been ill with any contagious disease or condition with the past thirty (30) days and that my dog has received all vaccinations. (May have to prove with records). I understand that The Dog House is an open day care centre and I agree that my dog will socialise with other dogs and I accept the risks involved and agree that The Dog House is not liable for any injuries or illnesses resulting during my dog's attendance. I understand and agree that dogs can sometimes receive minor cuts and scratches at daycare and any problems that develop with my dog(s) will be treated as deemed best by staff at The Dog House, at their sole discretion, and that I assume full financial responsibility for any and all expenses involved.

I understand that The Dog House staff have relied on my representation that my dog(s) has/have not harmed or shown aggression or threatening behaviour towards any person or any other dog. I further understand that if my dog(s) has a history of aggression or biting, The Dog House reserve the right to refuse entry and I have disclosed to The Dog House any known dangers associated with my dog. Any behaviour deemed dangerous or inappropriate by The Dog House may result in instant dismissal of my dog(s).

If any medical problems develop while my dog is in the care of The Dog House and I cannot be contacted, I authorise them to do whatever they deem necessary for the safety, health and wellbeing of my dog(s) and I agree to assume full financial responsibility for all expenses incurred.

Payment/Requirements

The price for a full day at The Dog House will be £15, or £8 if picked up before 1pm.

I understand that I must give at least 24 hours notice of cancellation and that there will be a charge for 'no shows'. I understand that the hours of operation are 8am-6pm and a late fee charge may apply.

If I purchase a half day service and fail to pick my dog on time I will be charged the full day rate.

Accept Terms and Conditions

I have read all of the above and agree

Signed

Print Name*

Date*

Date