Daycare & Boarding Intake Form

Owner Name *

First Name Last Name

Email: *

Cell Phone: *

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Are you inquiring for daycare, boarding, or both? *

Daycare Boarding Both

How many dogs do you have? (Only include those who will be attending daycare and/or boarding) *

1 Dog 2 Dogs 3 Dogs

Dog's Name: *

Breed: *

Date Of Birth: *

Gender: *

Male Female

Spayed / Neutered? *

Yes No

How is your dog when in a kennel? *

Loves it! Doesn’t mind it but would rather be out and about Not a big fan They are a bit of an escape artist My dog has never used a kennel before

How is your dog when meeting other dogs? *

Super friendly, tail wagging! A little unsure, but great once introductions are done! Wary of new dogs, prefers people Barks and growls at other dogs My dog has never socialized with other dogs before

How is your dog when meeting new people? *

Super friendly, tail wagging! A little unsure, but great once introductions are done! Wary of new people, prefers other dogs Barks and growls at new people My dog has never socialized with other people before

How is your dog around others when eating? *

Fine with people, not with other dogs Fine with other dogs, not with people Does not like people or dogs around them when eating Fine with both people and dogs! Unsure

Does your dog have any particular habits we should know about? This is just so we can help accommodate your dog’s needs during their first visit. (Example: nipping, excessive barking, fearful of men, not house-trained, fearful of loud noises, etc) *

Does your dog have any current or past medical conditions we should be aware of? (Example: hip dysplasia, diabetes, cancer, etc) *

Check All Vaccinations Your Dog Is Currently Up To Date With: *

Rabies Distemper Parvo Bordatella, Every Six Months Fecal Test, Every Six Months

#2 Dog's Name: *

#2 Breed: *

#2 Date Of Birth: *

#2 Gender: *

Male Female

#2 Spayed / Neutered? *

Yes No

#2 How is your dog when in a kennel? *

Loves it! Doesn’t mind it but would rather be out and about Not a big fan They are a bit of an escape artist My dog has never used a kennel before

#2 How is your dog when meeting other dogs? *

Super friendly, tail wagging! A little unsure, but great once introductions are done! Wary of new dogs, prefers people Barks and growls at other dogs My dog has never socialized with other dogs before

#2 How is your dog when meeting new people? *

Super friendly, tail wagging! A little unsure, but great once introductions are done! Wary of new people, prefers other dogs Barks and growls at new people My dog has never socialized with other people before

#2 How is your dog around others when eating? *

Fine with people, not with other dogs Fine with other dogs, not with people Does not like people or dogs around them when eating Fine with both people and dogs! Unsure

#2 Does your dog have any particular habits we should know about? This is just so we can help accommodate your dog’s needs during their first visit. (Example: nipping, excessive barking, fearful of men, not house-trained, fearful of loud noises, etc) *

#2 Does your dog have any current or past medical conditions we should be aware of? (Example: hip dysplasia, diabetes, cancer, etc) *

#2 Check All Vaccinations Your Dog Is Currently Up To Date With: *

Rabies Distemper Parvo Bordatella, Every Six Months Fecal Test, Every Six Months

#3 Dog's Name: *

#3 Breed: *

#3 Date Of Birth: *

#3 Gender: *

Male Female

#3 Spayed / Neutered? *

Yes No

#3 How is your dog when in a kennel? *

Loves it! Doesn’t mind it but would rather be out and about Not a big fan They are a bit of an escape artist My dog has never used a kennel before

#3 How is your dog when meeting other dogs? *

Super friendly, tail wagging! A little unsure, but great once introductions are done! Wary of new dogs, prefers people Barks and growls at other dogs My dog has never socialized with other dogs before

#3 How is your dog when meeting new people? *

Super friendly, tail wagging! A little unsure, but great once introductions are done! Wary of new people, prefers other dogs Barks and growls at new people My dog has never socialized with other people before

#3 How is your dog around others when eating? *

Fine with people, not with other dogs Fine with other dogs, not with people Does not like people or dogs around them when eating Fine with both people and dogs! Unsure

#3 Does your dog have any particular habits we should know about? This is just so we can help accommodate your dog’s needs during their first visit. (Example: nipping, excessive barking, fearful of men, not house-trained, fearful of loud noises, etc) *

#3 Does your dog have any current or past medical conditions we should be aware of? (Example: hip dysplasia, diabetes, cancer, etc) *

#3 Check All Vaccinations Your Dog Is Currently Up To Date With: *

Rabies Distemper Parvo Bordatella, Every Six Months Fecal Test, Every Six Months

Who is your current vet? Please list somewhere local. if you are new to the area, please list who you intend to use moving forward.

How did you hear about us? We like to thank those that refer us!

Are you applying for our Windham or Nashua location? *

Windham Nashua

www.WoofWoof.net

(603)-890-6239

woofwoofdaycare@gmail.com

47 Rockingham Road,

Windham, NH 03087

(603)-577-1576

woofwoof.nashua@gmail.com

18 Airport Road,

Nashua, NH 03063

E-mail

NEW CLIENT APPLICATION FORM

Owner Information

Dog Information

Dog #2 Information

Dog #3 Information