Online Admissions Form Primary Contact Info Name * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Emergency Contact Info Name * First Name Last Name Phone * (###) ### #### Email Address Address 1 Address 2 City State/Province Zip/Postal Code Country Veterinarian Contact Info Name * First Name Last Name Name account is under * Phone * (###) ### #### Email * Services Please indicate below what services you are most interested in: Cageless Daycare Training Boarding School Cageless Boarding Dog Walking Dog Social Events Playgroups Step-UP Socialization Grooming Behaviour Shaping How did you hear about Your Dog's Best Friends? Were you referred by someone? Pet Profile One dog per profile please Number of dogs in your family? 1 2 3 4 5 6 Dog's Name, breed and date of birth * Age at Neuter/Spay (dogs must be neutered/spayed by 7 months) Has your dog had the following vaccines? * Not vaccinated Bordetella DHPP (Distemper) Rabies Canine Influenza Leptospirosis How and where did you find your precious pup? How old was your dog when they left the litter? How old was your dog when they joined your family? How long have you owned your dog(s)? Has your dog been to daycare before, and if so, which daycare? If your dog was older than 6 months of age when you found them, please elaborate on the dog's life before becoming a member of your family. We would like to know a little bit about your relationship with your dog. Make it as long or short as you like. A few questions to guide you are: Is this your 1st, 2nd, etc dog? What drew you to this particular dog? What do you love most about your dog? What do you love least about your dog? Do you do daily, weekly or monthly activities/exercise with your dog? Play History Has your dog ever been to a dog park? Has your dog ever been to daycare? We would like to know a little bit about your dog's play with other dogs. Make it as long or short as you like. A few questions to guide you are: Does your dog like to be around other dogs? Do they initiate play? Does their play behavior change with the size of the other dogs or the number of dogs? Does your dog ever react in fear or engage in what another dog or owner might interpret as "aggression"? Has your dog ever had a serious disagreement with another dog? Does your dog enjoy "hunting" when off leash? Does your dog play too rough? Does your dog seem anxious about playing? Behavior History Jumping Don't know No problem A little concern Big of a problem Cause for concern Housetraining Don't know No problem A little concern Big of a problem Cause for concern Mouthiness Don't know No problem A little concern Bit of a problem Cause for concern Chewing Don't know No problem A little concern Bit of a problem Cause for concern Mounting Don't know No problem A little concern Bit of a problem Cause for concern Barking Don't know No problem A little concern Bit of a problem Cause for concern Growling Don't know No problem A little concern Bit of a problem Cause for concern Being brushed Don't know No problem A little concern Bit of a problem Cause for concern Being crated Don't know No problem A little concern Bit of a problem Cause for concern Being left alone Don't know No problem A little concern Bit of a problem Cause for concern Letting you pet/play with other dogs Don't know No problem A little concern Bit of a problem Cause for concern Reactiveness (appears aggressive/fearful) Adults Don't know No problem A little concern Bit of a problem Cause for concern Children Don't know No problem A little concern Bit of a problem Cause for concern Races Don't know No problem A little concern Bit of a problem Cause for concern Genders Don't know No problem A little concern Bit of a problem Cause for concern People in home Don't know No problem A little concern Bit of a problem Cause for concern Other pets in home Don't know No problem A little concern Bit of a problem Cause for concern Dogs on leash Don't know No problem A little concern Bit of a problem Cause for concern Dogs at the dog park Don't know No problem A little concern Bit of a problem Cause for concern Response to thunder Don't know No problem A little concern Bit of a problem Cause for concern Response to other loud/unusual noise Don't know No problem A little concern Bit of a problem Cause for concern Resource guarding Don't know No problem A little concern Bit of a problem Cause for concern Their food Don't know No problem A little concern Bit of a problem Cause for concern Toys Don't know No problem A little concern Bit of a problem Cause for concern You Don't know No problem A little concern Bit of a problem Cause for concern Health Information It's important for us to know as much as we can about your dog's medical history. Please be as complete as possible. Surgeries Yes No Seizures Yes No Allergies Yes No Arthritis Yes No Joint problems Yes No Hip Dysplasia Yes No Recurring fleas/ticks Yes No If you answered yes to any one or more of the above questions, please explain. Are there any restrictions on your dog's activities? What type of flea/tick prevention is used for your dog? Training History What commands does your dog know? If your dog has had any formal training, please describe. Is there any other information about your dog that you believe would be helpful or important for the staff at Your Dog's Best Friends to know? Thank you! If you don't hear from us within 72 hours, please give us a call at (703)566-1111.
