Enrollment - CAMP K9

Enrollment Form

Contact Information

Owner First Name

Owner Last Name

Phone Number

Home Address

City, State, Zip

Emergency Contact Name

Emergency Contact Phone

Dog Information

Dog's Name

Breed

Age

Sex

Is your dog altered (spayed/neutered)?

dog altered

Color/Markings

Note: Dogs must be altered by 6 months of age or per veterinarian recommendation. This can be discussed with a Camp K9 team member.

Can your dog have treats while with us?

Recall/come ability rating (optional)

Behavior Questions

Has your dog ever shown aggression toward adults or children?

Has your dog ever shown aggression towards large dogs?

Has your dog ever shown aggression towards small dogs?

Has your dog ever bitten another dog and broken the skin?

Has your dog ever hunted and/or injured a small critter?

Is your dog food possessive?

Is your dog toy possessive?

Does your dog exhibit signs of separation anxiety?

Does your dog bark excessively?

Additional Behavior & Medical

Has your dog participated in an obedience class? (optional)

Are there any other temperament or behavior issues you'd like to discuss? (optional)

Any known medical conditions?

Any current medications?

Any allergies (food or environmental)?

Vaccines

Rabies

Distemper

Bordetella

Date of most recent fecal test

Every 6 months

Is your dog on flea and heartworm preventative?

Yes No Not sure

Sign-Off

How did you find Camp K9?

I have read and agree to Camp K9's Standard Daycare Agreement

Read DAYCARE & BOARDING LIABILITY WAIVER, RELEASE & SERVICE AGREEMENT

Sign here

Signature

Date