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DAYCARE AND BOARDING APPLICATION

Dog Name_______________________Breed____________________Current Age_____________  
Date_________Owner’s Name_____________________Address___________________________  
City/St/Zip_________________________________Contact Phone #(____)___________________  
Email__________________________________________________
How may additional pets and what type?______________________________________________  
Veterinarian_______________________________Vet’s Phone (____) _______________________  
Training classes taken______________________________________________________________  
Color______________Height_______________Weight______________Sex_______________       
What is your pet’s birth date? __________________________________________    
Where did you get your dog? ____Ad in paper ____Breeder ____Friend or relative ____Pet Store  
____Stray _____Shelter _____Rescue _____Other            
Emergency contact___________________________________ Phone________________________  
Who may pick up your dog? _________________________________  
Immunization Requirements                           
It is the responsibility of the client to provide proof of vaccination for each animal attending Kinder  
Kritter  LLC. Dogs whose shots are not up-to-date will not be allowed to attend. The following  
vaccinations must be up-to-date within 5 days prior to attendance:                 
Date Given: Distemper___________Rabies___________Bordetella(6 month  
vaccination)___________                             
OWNER UNDERSTANDS THAT EVEN IF OWNER’S DOG(S) IS VACCINATED AGAINST KENNEL COUGH  
(BORDETELLA), THERE IS A CHANCE THAT THE OWNER’S DOG CAN STILL CONTRACT KENNEL COUGH.  
__________(INITIAL)                                 
Please list any current medical problems________________________________________________  
When was your pet’s last flea treatment?________  
Feeding Instructions
Name of food___________________________Quantity____________________________________  
Allergies___________________________ Food Restrictions________________________________           
Is it ok to give your dog treats? Yes____ No____   
Daily home caretaker is:____________________________________
A child____ An Adult_____ A Senior____ M/F________
Daily exercise: __Fenced yard only __walks by caretaker __other, describe_____________________  
Outings with caretaker: Car rides___ Who _______Parks___ Who_______ Frequency____________  
Hygiene: by home caretaker: ___daily_ __ weekly_ __ monthly:_ __ brushed ___ bathed___ trimmed  __
Where are the pets kept: ___In the house loose ___In the house crated ___In fenced yard ___In a kennel ___Tied
outside ___ Other___________________________________________  
You would describe your pet’s reaction to home grooming as: check all that apply.                      
___totally cooperative ___uncooperative ___wiggly ___shy ___nervous ___tries to get away   
___bossy ___aggressive/bites                  
Does your pet get groomed? ____How often?_____________________________________________  
Frequency of professional care monthly by: Vet_________ Stylist___________ Kennel____________          
You would describe your pet’s reaction to Pet care Professionals (vets, stylists, kennel operators) as:  
Check all that apply. ___friendly ___loving ___shy ___excited ___apprehensive ___passive   
___nervous ___frightened ___aggressive/biting  
Health/Medical
Medication: Past_____________________________ Current_________________________________  
Seizures: ___No ___Yes, what type/frequency_____________________________________________  
Heart Disease: ___No ___Yes, what type/frequency_________________________________________  
Check all applicable: ___blind ___deaf ___arthritis ___ear infection ___teeth infections  
___spayed/neutered                       
Allergies, specify to what & medication___________________________________________________  
Other injuries, specify______________________________________________________________
Social Behaviors: Does pet respond to name when called? ___Yes ___No  
Does pet respond to owner’s directions? ___Yes ___No                                
How often does your pet come when called? ___100% ___75% ___50% ___25% ___0%                       
Does pet urinate when approached? ___Yes ___No      
Does pet indulge in self mutilation? ___Yes ___No   
Is pet housetrained? ___Yes ___No   If so, specify method_______________________________________
Describe how pet reacts to strangers: ___friendly ___suspicious ___shys away ___frightened  
___ignores ___excited ___barks ___jumps on them ___growls bites                                        
Does your pet react differently to men, women, children, crowds, other adult pets, puppies, being put  
on a leash, being kenneled, or receiving treats around other pets? ___Yes ___No___ If yes,  
explain_____________________________________________________________________________
Has your dog ever been in a fight with another dog? ___Yes ___No   If yes, please describe how many  
Times and the circumstances:___________________________________________________________  
___________________________________________________________________________________  
What things upset your pet? __________________________________________________________
How does your pet react to riding in the car? ______________________________________________  
How does your pet react to being left alone?______________________________________________  
What bad habits does your pet have? Check all that apply: ___barks/howls ___digs ___chews  
___growls ___runs away ___jumps up ___gets in the trash ___chases things ___bites ___wets  
___begs ___other____________________________________________________________________  
In stress situation (new situation, stranger, left alone, confined) your pet reacts: ___wildly ___active  
___poised ___assured ___withdrawn ___lethargic, stiff
Personality Type:                 
How would you describe your pet’s personality? Check all that apply: ___balanced ___extremely  
Introverted ___introverted ___mildly introverted ___extremely extroverted ___extroverted  
___mildly extroverted ___shy ___friendly ___fearful ___happy ___aggressive ___playful ___nervous  
___bored ___hyperactive ___loud ___annoying ___calm ___jealous ___submissive ___territorial  
___finicky ___indifferent ___dominant ___dependent  
Social Order:                                       
___dominant ___subordinate ___leader tendencies  


Owner’s Signature_______________________________________Date________________________