Daycare & Boarding Intake Form

NEW CLIENT APPLICATION FORM
Owner Information
Owner Name*

First NameLast Name
Email:*
Cell Phone:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
DaycareBoardingBoth
1 Dog2 Dogs3 Dogs
Dog Information
Dog's Name:*
Breed: *
Date Of Birth:*
MaleFemale
YesNo
Loves it!Doesn’t mind it but would rather be out and aboutNot a big fanThey are a bit of an escape artistMy dog has never used a kennel before
Super friendly, tail wagging!A little unsure, but great once introductions are done!Wary of new dogs, prefers peopleBarks and growls at other dogsMy dog has never socialized with other dogs before
Super friendly, tail wagging!A little unsure, but great once introductions are done!Wary of new people, prefers other dogsBarks and growls at new peopleMy dog has never socialized with other people before
Fine with people, not with other dogsFine with other dogs, not with peopleDoes not like people or dogs around them when eatingFine 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)*
RabiesDistemper ParvoBordatella, Every Six MonthsFecal Test, Every Six Months
Dog #2 Information
#2 Dog's Name:*
#2 Breed: *
#2 Date Of Birth:*
MaleFemale
YesNo
Loves it!Doesn’t mind it but would rather be out and aboutNot a big fanThey are a bit of an escape artistMy dog has never used a kennel before
Super friendly, tail wagging!A little unsure, but great once introductions are done!Wary of new dogs, prefers peopleBarks and growls at other dogsMy dog has never socialized with other dogs before
Super friendly, tail wagging!A little unsure, but great once introductions are done!Wary of new people, prefers other dogsBarks and growls at new peopleMy dog has never socialized with other people before
Fine with people, not with other dogsFine with other dogs, not with peopleDoes not like people or dogs around them when eatingFine 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)*
RabiesDistemper ParvoBordatella, Every Six MonthsFecal Test, Every Six Months
Dog #3 Information
#3 Dog's Name:*
#3 Breed: *
#3 Date Of Birth:*
MaleFemale
YesNo
Loves it!Doesn’t mind it but would rather be out and aboutNot a big fanThey are a bit of an escape artistMy dog has never used a kennel before
Super friendly, tail wagging!A little unsure, but great once introductions are done!Wary of new dogs, prefers peopleBarks and growls at other dogsMy dog has never socialized with other dogs before
Super friendly, tail wagging!A little unsure, but great once introductions are done!Wary of new people, prefers other dogsBarks and growls at new peopleMy dog has never socialized with other people before
Fine with people, not with other dogsFine with other dogs, not with peopleDoes not like people or dogs around them when eatingFine 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)*
RabiesDistemper ParvoBordatella, Every Six MonthsFecal 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!
Windham
Woof Woof Daycare & Boarding

(603)-890-6239

woofwoofdaycare@gmail.com

47 Rockingham Road,

Windham, NH 03087
Emergency contact (someone you are not traveling with)
E-mail
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NEW CLIENT APPLICATION FORM

Owner Information

Dog Information

Dog #2 Information

Dog #3 Information