Owner’s Name(s): Address:

City: State: Zip Code:

How did you hear about Fetch ‘n Fun?

Dog’s Name: Age: Color:

Breed: Birth Date: Sex: M F

Is your dog spayed/neutered: Yes No

Veterinarian’s Name: Address:

City: State: Zip Code: Tel:

How long has this dog lived with you?

Has your dog attended any training classes? Yes No

Is your dog trained to use a crate? Yes No
— If yes, when is the crate used?

How does your dog indicate that it needs to go to the bathroom?

Does your dog have allergies? Yes No
— If yes, what is the treatment?

Are there any medical conditions we should be aware of? Yes No
— If yes, explain:

Is your dog on a special diet? Yes No
— If yes, explain:

Will your dog need to take medication while at daycare? Yes No

Have sore paws/pads ever been a problem? Yes No

Does your dog have any disabling condition? Yes No
— If yes, explain:

How does your dog behave around children?

Has your dog ever been in a social play group? Yes No

Does your dog exhibit any of these behaviors: Growling, Hiding, Biting, Other:
Yes No — If yes, explain:

Is there any behavior that you would like your dog to improve on or change?

How would you describe your dog’s activity level at home?

Has your dog ever shown aggressive behavior towards people or other dogs?
Yes No — If yes, explain:

How does your dog react to strangers?

Has your dog ever been involved in a situation with another dog that resulted in a bite wound to either dog? Yes No
— If yes, explain:

Does your dog have separation anxiety? Yes No

What scares your dog? How do you deal with it?

What activities does your dog love to do?

Has your dog ever climbed/jumped a fence or gate? Yes No

Is your dog protective of his toys, food bowl, water bowl, other: Yes No

Any special instructions or information you would like us to know?