Parent (1): E-mail Address:
Home #: Office #: Mobile#:
Parent (2): E-mail Address:
Home #: Office #:
Mobile#:
City:
Zip:
Street Address: State:
Emergency Contacts (other than a household members):
*We do NOT evacuate dogs in the event of a hurricane. You MUST provide three contacts that
Name: Phone:
Name: Phone:
Name: Phone:
How did you hear about Puppy Love Daycare?
Please tell us who recommended us to you:
Dog Information:
Name: Date of Birth: Sex:
Breed: Weight:
Spay/ or Neutered:
Veterinarian Information:
Dr's Name:
Vet. Office Name:
Phone:
Vet. Address:
VACCINATIONS: Date Received:
DHPP:
Bordatella:
Rabies:
Type of Flea prevention used (monthly):
Your Dog's History:
How long has your dog been in your life?
How & where did you acquire your dog?
If adopted, do you have any knowledge of your dog’s history?
Has your dog been to a dog park and/or played in other larger groups of dogs?
If yes, how did they behave in that social setting?
What is the name of the daycare(s)?:
Has your dog ever been to dog daycare?
How is the overall health of your dog?
What is your dog’s largest health issue, and how this issue handled?
Does your dog have hip dysplasia or Patella Luxation?
Does your dog have any allergies? If so, what are they?
Does your dog have any sensitive areas on his/her body?
Are there any other health issues we should be aware of?
What restrictions need to be placed on your dog’s activities??
Your Dog's Behavior :
Does your dog act afraid of any specific items or noises? If so, please explain:
Does your dog bark or growl at people passing your house or yard, or are they not interested?
Does your dog like to be brushed?
How does your dog react to having his/her nails clipped?
Are there any kinds of people that your dog automatically fears or dislikes?
How does your dog react to puppies?
Has your dog ever bitten someone? If “yes”, what were the circumstances?
Does your dog have problems in any of the following areas? If so, please explain the problem.
Nip/Chew:
Housetraining:
Barking:
Digging:
Jumping:
Eating Foreign Objects or Feces:
Escaping/Fence Climbing:
Rate your dog’s energy level “1” being mellow & “10” being hyper
Has your dog ever growled or snapped at anyone for taking his/her food or toys away?
Does your dog play with toys? If yes, what are his/her favorite toys?
How many times each week does your dog play with non-family dogs?
Has your dog had any formal obedience training?
Can your dog have treats?
If you are interested in enrolling your dog in daycare, please specify how often you would like
2630 Edenborn Ave, Metairie, LA 70002
