Dog Daycare Application Form

Owner Information

First Name *

Last Name *

Postal Address *

Suburb *

City *

Post Code *

Is your Postal address different from your Physical address? *

Yes
No

Phone (Home) *

Phone (Mobile) *

Phone (Work) *

Email *

Pet Information

Pet Name *

Breed *

Colour *

Date of Birth *

Sex *

Male
Female

Desexed? *

Yes
No

Microchip Number *

Council Registration Number *

Please Note: Microchip and Council Registration is compulsory over 3 months of age. All dogs must be desexed from 5 months of age to attend Happy Paws Daycare

Pet Information continued....

Is this your first dog? *

Yes
No

Where did you purchase your dog? *

At what age did you purchase your dog? *

How long have you had your dog? *

If you have not had your dog from being a puppy what do you know about it’s past? *

Do you have any other animals in the household? *

Yes
No

Which family member is your dog most bonded to and why? *

Emergency Contact

If you are unavailable THIS HAS TO BE SOMEONE WE CAN CONTACT IF WE NEED YOUR DOG TO BE PICKED UP WHILST IN OUR CARE

First Name *

Last Name *

Address 1 *

Suburb *

City *

Post Code *

Phone - Home *

Phone - Mobile *

Phone - Work *

Email *

How did you hear about Happy Paws? *

Why did you choose Happy Paws? *

Would you like to receive our newsletter via email? *

Yes
No

Vet Information

Veterinary Clinic Name *

Address 1 *

Suburb *

Post Code *

City *

Email *

Phone *

Vaccination Information

In order to provide a healthy environment for all the animals we care for, Happy Paws requires your pet to be fully vaccinated and to have a vaccine certificate as a record of proof provided from your veterinary practice.

NO animal will be allowed entry to Happy Paws dog day care without this document unless we have contacted your veterinary practice to verify vaccination status.

The vaccinations required are Bordetella (Kennel Cough), Distemper, Parvovirus. Leptospirosis, Hepatitis and Parainfluenza.

Kennel Cough (Bordetella)

Date received *

Date due *

5 in 1 (DHPPV, distemper)

Date received *

Date due *

Leptospirosis Virus

Date received *

Date due *

What flea treatment do you use for your dog? *

What date did you apply the treatment? *

What worm treatment do you use for your dog? *

What date did you apply the treatment? *

Pet Services

Have you used a kennel before? *

Yes
No

Have you used a Dog Day Care before? *

Yes
No

Have you used a Pet minder before? *

Yes
No

Have you used a dog groomer before? *

Yes
No

Has your dog had a negative experience with any of the above services? *

Yes
No

Grooming Information

Does your dog like to be bathed? *

Yes
No

How often are they bathed? *

Do you bath them yourself or do you go to a groomer? *

Does your dog like to be brushed? *

Yes
No

How does your dog react to having their nails clipped? *

Does your dog have any area on their body they do not like to be touched? *

Health Information

Please describe any health issues your dog has (eg seizures/heart/hip problems/recent injuries etc) *

Are there any other restrictions on your dog’s activities or movements? *

Yes
No

Does your dog have any allergies? *

Yes
No

Is your dog taking any medication? *

Yes
No

Does your dog have any recent or current injuries? *

Yes
No

Does your dog have any health concerns that you are aware of? *

Yes
No

What brand of food do you feed your dog? *

How many meals per day does your dog have? *

Is your dog allowed treats while in the care of Happy Paws? *

Yes
No

Training Information

Is your dog House-Trained? *

Yes
No

Is your dog Crate-Trained? *

Yes
No
N/A

Does your dog jump up on to people in the home? *

Yes
No

Does your dog jump up on to people outside? *

Yes
No

Has your dog attended training classes? *

Yes
No

Have you have had a private training consult with a trainer? *

Yes
No

Is your dog allowed on your furniture? *

Yes
No

Please list any verbal cues your dog responds to, for example, “Sit” *

Do you reward your dog using food? *

Yes
No

Behaviour & Lifestyle

Has your dog had to see a veterinary behaviourist? *

Yes
No

Has your dog been diagnosed with any of the following: *

Separation anxiety
Aggression to people they know
Aggression to strangers
Dog to dog aggression
Resource guarding food (possessive of food)
Resource guarding toys (possessive of toys)
None of these

Where is your dog kept when you leave them at home? *

How does your dog react when you are leaving? *

How does your dog react when you come home? *

Behaviour & Lifestyle continued...

Do you walk your dog? *

Yes
No

How often per week? *

How long is each walk? *

Does the walk include off leash exercise? *

Yes
No

Does your dog receive any other exercise? *

Yes
No

Behaviour & Lifestyle continued...

Please describe your dogs overall temperament *

Does your dog like other dogs? *

Yes
No

Does your dog like other dogs in their home? *

Yes
No

How does your dog react to strangers? *

How often does your dog meet other dogs off the lead in parks/open spaces? *

Does your dog participate in play with other dogs at the park or beach? *

Yes
No

How does your dog react to other dogs on a lead? Please describe *

How does your dog react to other dogs when off lead? Please describe *

Does your dog particularly dislike any breeds, colour or size of dog? *

Yes
No

Does your dog particularly like any breeds, colour or size of dog? *

Yes
No

Behaviour & Lifestyle continued...

What type of game does your dog enjoy with people? *

Does your dog enjoy being stroked and cuddled? *

Yes
No

What type of play does your dog enjoy with other dogs? *

Does your dog play with toys? *

Yes
No

Does your dog share food with other dogs? *

Yes
No

Does your dog share water with other dogs? *

Yes
No

Does your dog share toys with other dogs? *

Yes
No

Please describe circumstances of your dog sharing or not sharing food, water or toys with other dogs *

Behaviour & Lifestyle continued...

Has your dog ever growled at a person? *

Yes
No

Has your dog ever growled at another dog? *

Yes
No

Has your dog ever bitten a person? *

Yes
No

Has your dog ever bitten another dog? *

Yes
No

Has your dog ever been in a fight with another dog? *

Yes
No

Has your dog ever escaped or attempted to escape from your property? *

Yes
No

Has your dog ever growled, bitten, snapped at someone for approaching their food or toys? *

Yes
No

Has your dog ever growled, bitten, snapped at someone for removing their food or toys? *

Yes
No

Please describe anything that causes your dog to be frightened and what do you do to help them? *

Is there anything else that you think we should know about your dog? *

Additional Daycare Information

When would you like them to start day care? *

How many days of the week would you like them to attend and why? *

Which days would you like them to attend and why? *

Dog Daycare Application Form