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Daycare & Boarding Enrollment Form
First name
*
Last name
*
Email
*
Phone
*
Your Address
City
Prov
Postal Code
Emergency Contact Name & Phone
Vet Clinic
Dog's Name
Dog #2 Name
Dog #3 Name
Breed
Breed
Breed
Dog #1 Birthday or Age
Dog #2 Birthday or Age
Dog #3 Birthday or Age
Gender
Gender
Gender
Dog #1
*
Has been to daycare
Has been boarded before
Goes to dog parks
Is socialized with other dogs (outside of dog parks)
Dog #2
*
Has been to daycare
Has been boarded before
Goes to dog parks
Is socialized with other dogs (outside of dog parks)
Dog #3
*
Has been to daycare
Has been boarded before
Goes to dog parks
Is socialized with other dogs (outside of dog parks)
Dog #1
Food protective
Toy protective
Been in a fight
Had an injury from a fight
If male, exhibit any mounting behavior
Dog #2
Food protective
Toy protective
Allowed chews
Been in a fight
Had an injury from a fight
If male, exhibit any mounting behavior
Dog #3
Food protective
Toy protective
Allowed chews
Been in a fight
Had an injury from a fight
If a male, exhibit any mounting behavior
Life at Home
My dog (s) sleep on my bed
Dog(s) Sleeps on a dog bed
Both
My dog's play...
Plays on his own
Always brings me toys to play
Both
My Dog's Exercise
Daily Leash Walks
Hikes
Swimming
Off-Leash Walks
Other
Attention Seeking Behaviors?
Pawing at me
Barks for attention
Whining
Head on lap
Stealing Items
Head on your lap
Dropping/Throwing toys
Staring at you
Barking to go in and out of house
List the reasons you want your dog(s) to attend daycare
Any issues with leash reactivity?
Submit Form
Urban Canine Behavior Analysis
Your First Name
*
Your Last name
*
Your Dog's Name
*
Please complete the behavior questions listed below. Check all that apply. Make sure all adults in the household contribute as you each may have different answers! My Dog...
Jumps on people at the door
Won't stay back from the door
Barks at visitors at the door
Barks at windows with people passing or dogs passing by
Growls or snaps at me/us
Growls or snaps at other dogs
Growls or snaps at strangers or visitors
Plays rough with me/us
Mouths hands/feet/clothes
Chases brooms, feet
Wants to chase cars
Ignores voice commands when distracted
Barks or whines when we are separated
Is destructive in the house
Follows me around the house
Rushes past me in doorways and on stairs
Has good recall (70% +)
Recall isn't terrible, just not great
Our dog has very little recall
Have you ever witnessed this behavior when your dog is interacting or playing with other dogs?
Play bow
Rolling on the back showing the belly
Being aloof - ignoring
Initiates play
Hides behind legs, stays close to you
Submit
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