Fuzzy Buddy’s Enrollment Form

We will reach out upon receipt to get your dog’s Trial Day scheduled! 

    Owner's Information

    Owner's Name:
    Owner's Cell Number:
    Owner's Work Number:
    Best Daytime Phone(s) for Owner:

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

    Street Address:
    City:
    Zip:
    Best Family Email Address:

    EMERGENCY CONTACT: In case of emergency where we cannot reach you or your partner, please provide an alternate contact we can speak with about your dog. This should be someone who can pick up your dog if necessary, or make health decisions in a health emergency.
    Emergency Person--NOT an Owner!:
    Emergency Contact Phone:

    PICK UP POLICY: Because many of our dog clients have numerous and changing caregivers, our authorized pickup policy is as follows: We will release your dog to anyone who can tell us your dog's full name, an owner's full name, and a description of your dog. Please indicate which pickup category you need:
    I understand and agree to this pick up policy. I do not need any Custody Restrictions.I need Custody Restrictions for my dog and will supply photos, names, and contact numbers for the limited number of people who are AUTHORIZED to pick up my dog. I understand that Custody Restrictions will not go into effect until I provide the photos and contact information for the authorized helpers.I need Custody Restrictions for my dog and will supply photos and names of the limited number of people who are UNAUTHORIZED to pick up my dog. I understand that these Custody Restrictions will not go into effect until I provide the photos of the unauthorized people.

    Please let us know how you heard about us.
    Saw SignGoogleOther InternetAuctionA 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:

    Dog's Information

    If you are enrolling more than one dog, please fill this form out for each dog.

    Dog's Name + Nickname:
    Birthday:
    Breed:
    Color or Markings:
    Weight:
    MaleFemale
    Age when spayed or neutered?
    If your dog is not spayed or neutered, at what age are you planning to do this?
    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 enrolling your dog in daycare: (please select all that apply)
    Needs exerciseCannot be left aloneSocializationHousetraining issues at homeTemporary Care OnlyOther
    If you selected "Other" above, please specify:

    Health Information

    Vet Name and Clinic:
    Vet Phone:
    Known allergies:
    Brand of food:
    Health Issues: (please select all that apply)
    Hip DysplasiaArthritisUnderweightOverweightDiabetesThyroid IssuesEats PoopEats Non-Food ItemsDifficult to trim toenails or dewclaws

    Please note that long toenails can snag and tear, as well as contribute to joint pain and arthritis. Long nails can also leave scrapes on other dogs and staff. Fuzzy Buddy's is not responsible for any vet bills associated with long toenails breaking during daycare.

    If your dog ever coughs due to tracheal damage, allergies, pressure from collar on throat, or any other reason, please describe:
    Please describe any injuries or ongoing health issues, and list any medication needed for behavioral or medical issues:
    If your dog ever eats and excretes non-food items, please describe types of objects your dog likes to chew up and swallow. Please note if your dog has ever had surgery to remove non-food items:

    Training

    Location and date of prior training classes:
    Any training challenges?
    Training Equipment used on walks: (please select all that apply)
    Regular CollarProng/Choke CollarShock CollarHarnessLeash CorrectionsPositive Reinforcement (praise, treats, toys)

    Personality

    Please select the words that describe your dog:

    WonderfulSweetJealousStubbornImmatureEscape ArtistWell-behavedAggressiveHyperHappyProtectivePredatoryShyMellowDemandingFearfulHigh EnergyHigh StrungPlayfulDominantSubmissiveAnxious
    If your dog is an escape artist, how tall of fence can your dog jump or climb? 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 ToysGuards House or YardDoes Not ObeyCan't Grab CollarBarks at People When on Leash
    Any kinds of people your dog automatically doesn't like? NoYes, and here's details:
    Has your dog ever bitten a person?
    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 likes or doesn't mind:
    PuppiesFemalesMalesSmall DogsLarge Dogs
    Types of dogs your dog doesn't like:
    PuppiesFemalesMalesSmall DogsLarge Dogs
    Breeds and Colors your dog doesn't like:
    Your dog's perfect play partner:

    Play Experience:

    Location of any prior daycare experience:
    How often did dog attend?
    How often does your dog go to off-leash parks?:
    How often does your dog engage in group play with unfamiliar dogs?:
    At the dog park, your dog: (circle those that apply)
    Plays with Other DogsIgnores Other DogsMeets PeoplePlays 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:
    If another dog starts friction, will your dog fight back? NoYes, and here's details:
    Does your dog bark or lunge at other dogs on leash? NoYes, and here's details:
    Has your dog ever bitten a dog?
    NoYes, and here's details:
    Please add anything else we should know about your dog:
    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!

    The owner of this website has made a commitment to accessibility and inclusion, please report any problems that you encounter using the contact form on this website. This site uses the WP ADA Compliance Check plugin to enhance accessibility.