Daycare Reservations

*All online reservations must be made 24 hours in advance. If you are making a reservation with less than 24 hours please call the Dog Den directly to ensure a reservation is made for your dog. 608-278-PLAY (7529)

Providing us with as much detail as possible helps us to get to know your dog better!

General Information

Dog’s Name Initial Date of Service Client’s Name Address City Zip Email Address(s) Home Phone Work Phone Cell Phone Dog’s Breed(s) Birth date Spayed/Neutered Select One Yes No Color/Description Male/Female Select One Male Female Food Type Canned? Dry? Vet Clinic Treating Veterinarian Vet Clinic Address Vet Clinic Phone Emergency Contact Person Emergency Contact Relationship Emergency Contact Phone #’s How did you first hear about The Dog Den? Did a friend refer you? (referrals=$10 off training or daycare package for the dog/parent who referred you!) List any known allergies How often do you think you would like to use the daycare service?

Vaccination/Medical History

Rabies Due DHLPP Due Bordatella Due Yearly Heartworm Test? Select One Yes No What brand of preventative? Select One Sentinel Interceptor Heartgard Other Flea & Tick Medication? Select One Yes No What brand of preventative? Select One Top Spot Advantage Sentinel Other Describe any medical/health issues we need to be aware of (i.e. seizures, heart/hip problems, etc.)

Dog Profile

How long has your dog been in your family? Where did you get your dog? If adopted, do you have any knowledge of your dog's past history? Please list the people that live in your home, names, ages and sex Please list the other animals that live in your home, names, ages, sex and species Please list the training classes your dog has attended (list what level, and what training company) Please list the commands that your dog is familiar with Is your dog crate trained? Is he/she comfortable in his/her crate? Is your dog comfortable with having his/her feet touched? Select One Yes No Unknown Has your dog ever climbed or jumped a fence? Select One Yes No Unknown What does your dog do when someone reaches for his/her bone, food or toys?

How does your dog play with other dogs?

Check all that apply

Gently Chases Wrestles Plays Rough Barks at the Dog Indifferent Shy Runs Away Growls Snaps

Does your dog prefer certain sexes of dogs? Select One Yes No If yes, which sex (M/F)? Select One Male Female Does your dog prefer certain sexes of people? Select One Yes No If yes, which sex (M/F)? Select One Male Female List some things your dog likes List some things your dog dislikes List some things your dog is afraid of What does your dog do when he/she is afraid or upset? Please list the exercise your dog receives on a weekly basis Please list the training your dog receives on a weekly basis What are your dog’s sleeping habits? (locations and how often) How does your dog react to puppies? How does your dog react to strangers? Does your dog automatically dislike any kind of dog? Does your dog automatically dislike any kind of person? Please list any behavioral problems/idiosyncrasies/special sensitivities we should be aware of

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