Day Camp Profile

GENERAL

Owner's Name:*
Address:*
Day Phone:*
-
Evening Phone:
-
Email:*
Confirm Email:
Which program are you interested in:
How did you hear about us? (Please be specific if referred by an individual or business so we can thank them!)
Names and ages of all humans living in the home
Names, ages, and breeds of all other animals living in the house

DOG INFORMATION

Dog's Name:*
Breed:
Birth Date:
Sex:
Weight:

BITE HISTORY

How many times has your dog harmfully bitten people? (Select 0 if none)*
How much damage was done to person?
Other comments (bitten other people)
How many times has your dog harmfully bitten other dogs? (Select 0 if none)*
How much damage was done to other dog?
Other comments (bitten other dogs)

MEDICAL HISTORY

Veterinarian:
Vet's Phone:
-
Vet's Address:
Does your dog have any health problems that we should know about?
Does your dog have any food allergies or sensitivities?*
If Yes , describe allergies/sensitivities:
Does your dog have any history of GI issues? *
If Yes, describe GI issues:

PRIOR TRAINING

Does your dog have any prior training?*
Training done:
Other training comments:
Name of other trainers/training businesses you have used:
What does your dog know?
Have you ever used any of the following training tools or methods?

HISTORY

Where did your dog come from?
How long have you had your dog?
Is this your first dog?*
Why did you choose this dog?
What type of food do you feed?
Brand of food:
How many times a day is your dog fed?
Is this your dog free-fed?*
How much do you feed at each meal?
What time(s) is your dog fed?
Does your dog get "people food"?*
What types of treats, cookies, and/or chews does your dog enjoy and how often?
Is your dog housetrained?*
Is your dog crate-trained?*
If your dog has "accidents", please describe circumstances:
Dog's Favorite Toy is:
Dog's Favorite Treat is:
Dog's Favorite Activity:
What do you like best about your dog?
How does your dog typically behave around new people? (check all that apply)
Other comments(people)
How does your dog typically behave around new dogs? (check all that apply)
Other comments (dogs)
Is there anything else you think is important for us to know?
Type the characters you see in the picture below
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