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Join Our Team
About Huckleberry's
Meet Our Team
Services
Dog Grooming
Grooming Agreement
Cat Grooming
Grooming Agreement
Boarding
Boarding Policy
Vaccination Policy
Boarding Registration
Daycare
Daycare Live Cams
Daycare Application
Pet Wash
Boutique
Blog
Contact
Join Our Team
APPLICATION
daycare
"
*
" indicates required fields
Name
*
First
Last
Phone
*
Email
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Dogs Name
*
Breed
*
Sex
*
Male
Female
Spayed/Nuetered
*
Yes
No
Birthdate
*
MM slash DD slash YYYY
Veterinarian Name & Phone Number
*
How long have you owned dog?
*
Where did you get your dog?
*
Newspaper
Ad Breeder
Pet Store
Animal Shelter
Animal Rescue Group
Friend
Stray
Other
What knowledge do you have of your dogs past history?
*
Why are you considering our off-leash dog play program for your dog? (check all that apply)
*
Play with other dogs
So not home alone
Exercise
Recommended by other pet professional (trainer, vet, etc.)
Other
If selected other or recommended by another professional, please explain reason?
Which of the following best describes your dog’s level socialization with other dogs?
*
None – No knowledge of other dog interaction
Minimal – On leash encounters only
Moderate – Some off-leash playtime on occasion with visitor’s/neighbor’s/friend’s dog(s)
Extensive – Regular visits to dog social events, off-leash dog parks, dog daycare, etc.
Has your dog had any problems previously in an off-leash social environment?
*
None
Altercation or fight at a public dog park
Altercation or fight with a neighbor or friends dog
Fearful reaction in a group of dogs
Dismissed from a prior dog daycare or social playgroup program
Other
Only complete if your dog has been dismissed from a prior program?
Check each statement below that applies to the situation that resulted in your dog’s dismissal:
*
None apply
My dog was injured, no medical treatment required
My dog was injured and required medical treatment
Another dog was injured, no medical treatment required
Another dog was injured and required medical treatment
A person was injured, no medical treatment required
A person injured and required medical treatment
Please describe your dogs flea and tick control prevention program:
*
Does your dog have any allergies? If yes, please explain.
*
Does your dog have any physical disabilities? If yes, please explain.
*
If answered yes, what restrictions does your dog have?
No Jumping
No Running
No Hard Play
No Contact with other dogs
Other
Does your dog have any medical conditions? If yes, please explain.
*
If medication is used to control the condition, please provide name and dosage:
Does your dog have any sensitive areas on his/her body?
*
Yes
No
If yes, where?
How frequently is your dog walked outside and how long are the walks?
*
What is your dogs play style?
*
What is your dogs behavior when upset?
*
Does your dog chase squirrels, cats, bikes, cars or stalk other animals?
*
Yes
No
Does your dog share food and toys?
*
Is your dog crate trained?
*
Yes
No
Check the box below that best represents your dog’s overall level of exercise routine:
*
Couch Potato: Spends days sleeping, occasional walks and/or playtime with humans or other dogs.
Mild Exerciser: Short daily walks and/or regular playtime with human or other dogs.
Moderate Exerciser: Long or multiple walks daily and/or regular playtime with human or dogs.
Athlete: Regular jogs/runs and/or regular participation in a dog sport activity such as agility, flyball, frisbee, etc.
How does your dog behave around children?
*
How does your dog get along with other household animals?
*
Does your dog ever bark or growl at anyone passing outside your home or yard? If yes, please explain:
*
Are there any types and/or breeds of dogs your dog seems to automatically fear or dislike?
*
How does your dog react to another dog approaching him/her in a park, at the beach, or on a walk?
*
Does your dog have a preference of male or female dogs when they play?
*
Which commands does your dog know? (please check all that apply)
*
Sit
Stay
Down
Come
Heel
Rollover
Kisses
High Five
Shake
Select All
How did your dog get his/her obedience training? (Please check all that apply)
*
Attended one group class
Attended more than one level of group classes (beginner and intermediate,etc.)
Dog was sent to a board and train program
Private sessions in home
None
Which of the following best describes the use of obedience cues with your dog at home?
*
Key part of daily communication
Used when we go on walks or have people over
Used occasionally to better control behavior
Rarely used
Not applicable
What kind of a collar do you use to walk your dog?
*
Buckle
Nylon/Chain Choke Collar
Harness - Leash Clips on Back
Harness – Front Clip
Head Collar
Prong/Pinch
Other
Has your dog ever gotten away from someone when out for a walk?
*
Yes
No
What does your dog do to show he/she is happy?
*
Is your dog allowed on the furniture at home?
*
Yes
No
Does your dog have any problems in any of the following areas? If yes, please explain.
*
Mouthing
Housetraining
Barking
Digging
Ignoring commands
Not applicable
Has your dog ever growled at someone? If yes, what were the circumstances and how did you respond?
*
Are there any particular types of people your dog seems to automatically fear or dislike?
*
Has your dog ever bitten another animal? If yes, what were the circumstances and how did you respond? Please describe any injuries if there were any.
*
Has your dog ever bitten a person? If yes, what were the circumstances and how did you respond? Please describe injuries (if any).
*
To the best of your knowledge, what does your dog do when you’re not at home?
*
Has your dog ever climbed/jumped a fence? If yes, what were the circumstances? How high was the fence?
*
Is your dog frightened by thunderstorms? If yes, describe typical behavior & what specifically helps to calm his/her fear.
*
Is your dog frightened or nervous around anything else? If yes, please explain.
*
Does your dog play with any toys? If yes, what kinds of toys does your dog like?
*
Has your dog ever growled or snapped at a person who has taken food or toys away from him/her? If yes, what were the circumstances and how did you respond?
*
Has your dog ever growled or snapped at another dog who has taken food or toys away from him/her? If yes, what were the circumstances and how did you respond?
*
Has your dog ever ever been evaluated for Doggie Daycare at another faclility?
*
How often do you plan to have your dog attend daycare?
*
Half Day
Full Day
Every Day
Once A Week
Once A Month
Other
Other comments or information about your dog that you feel might be helpful?
Upload Vaccination Form
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