Enrollment Form | Fuzzy Buddy's Dog Daycare

All About Your Dog!

We want to know all about your dog so we can set your dog up for a great time at daycare. The following questionnaire gives us the full scoop on what your dog loves and fears, enjoys and avoids. We also want to know about your dog’s health history and any injuries or health concerns that might impact their time at daycare. Please fill this form out for each dog you want to enroll.

All About Your Dog

Dog's Name and Nicknames:
Birthday:
Breed and Weight:
Color or Markings:
Gender:	MaleFemale
Spayed/neutered?	YesNo
If not spayed or neutered, when are you planning to do this?

Origins

For recent adoptions, please schedule your trial day for after your dog has been in your home for more than 14 days

Where did you get your dog?
How long have you had your dog?
Expected number of days your dog will need daycare: Temporary Care OnlyOnce/week2-3 days/week4-5 days/week1-3 days/month
Reason for daycare: (please select all that apply) Needs exerciseNeeds Dog FriendsCannot be left aloneSocializationHousetraining issues at homeTemporary Care OnlyOther
If you selected "Other" above, please specify:

Health Information

Vet Name and Clinic:
Medications:
Known allergies:
Brand of food:
Health Issues: (please select any that apply) Hip DysplasiaArthritisUnderweightOverweightDiabetesThyroid IssuesEats PoopEats Non-Food ItemsRecurring Injury

Health Info

If your dog ever coughs due to tracheal damage, allergies, pressure from collar on throat, or any other reason, please describe:

Eats + excretes non-food items (towels, toys, etc.)?YesNo
If yes, what kinds of items does your dog consume?

Personality

Can your dog scale a 7ft fence?

YesNo

If your dog is an escape artist, please describe times your dog has escaped:

If your dog is predatory, please provide details about situations where your dog killed a mouse, rat, cat, bird, squirrel, dog, deer, or any creature other than a moth, spider, or other insect:

Behaviors Toward People
Growls at StrangersJumps on PeopleMouthy/Bites PeopleGuards Food BowlGuards ToysPeople Shy
Any kinds of people your dog automatically doesn't like? NoYes, and here's details:

Has your dog ever bitten a person and broken the skin?NoYes, and here's details:

Fears

Does your dog become anxious about any of the following:

VacuumsNoisesBeing Touched or RestrainedSeparation Anxiety when home aloneSeparation Anxiety when separated from ownerOther

Describe triggers for fearful responses and what you have done to help your dog feel safe when stressed:

Play style with other dogs:

Has many dog friendsLikes off leash parksNippyLoves to wrestleGuards toysBarks excessivelyFetch DogHerds dogsHates being mountedGets mounted frequentlyFrequently mountsLoves to chaseLoves to be chasedLikes people more than dogsScares small dogsAfraid of big dogsGentle with small dogsYelps or screams when scaredMouthy/bites dogsPins dogs frequentlyScuffles over toysDoesn't know how to playOverwhelms some dogsListens to other dogs' signalsDestroys toys

Play Preferences

Types of dogs your dog doesn't like:PuppiesFemalesMalesSmall DogsLarge DogsUnfixed Males
Breeds your dog doesn't like:
Your dog's perfect play partner:
Has your dog ever bitten a dog and broken the skin?NoYes, and here's details:

Play Experience

Location of any prior daycare:
How often does your dog engage in group play with unfamiliar dogs?:	Never1-3 times a monthOnce a weekSeveral times a week
At the dog park, your dog: (choose those that apply) Plays with Other DogsIgnores Other DogsMeets PeopleGuards ToysGuard Water BowlsPlays Fetch
When a pushy or rude dogs invades your dog's personal space, how does your dog respond: (check those that apply) Ignores themWalks awayTries to make friendsRolls on backGrowls or Barks to get the dog to leaveGives an air snapEngages in a physical altercation (teeth on fur contact)
Is your dog frequently attacked by other dogs?
NoYes, and here's details:

Please add anything else we should know about your dog:

Owner Info

Not used for advertising. We never sell your contact information.

Owner's Name:
Owner's Cell Number:
Owner's Work Number:
Best Daytime Phone(s) for Owner:
Best Family Email Address:
Co-Owner's Name:
Co-Owner's Cell Number:
Co-Owner's Work Number:
Best Daytime Phone(s) for Co-Owner:

Address

Street Address:
City:
Zip:
EMERGENCY PICK UP PERSON: In situations where we cannot reach you or a co-owner, please provide an alternate contact for someone who can pick up your dog. This should not be an owner or co-owner.
Emergency Person:
Emergency Contact Phone:

Please let us know how you heard about us. Saw SignGoogleOther InternetFacebookNext DoorAuctionA FriendVet ClinicTrainerPet StoreOther
If you heard about us from a friend or a local business, please let us know who so we can say "Thank you!" to them:

We respond to every application we receive on weekdays within 24 hours. Applications submitted Fridays after 6 pm and over the weekend will not be reviewed until Monday. Our reply may end up in your spam folder!!!! Please let us know if you do not receive our emails!
A real person would know: which is bigger, 2 or 8?