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Daycare Application

Daycare Application

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Published by Amanda Gross
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Categories:Types, Business/Law
Published by: Amanda Gross on Jun 03, 2013
Copyright:Attribution Non-commercial

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06/03/2013

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Absolutely Magic: Daycare Application Page 1
Absolutely Magic
Canine Daycare Application
Please complete this application in its entirety, complete and sign release, and return toAbsolutely Magic by emailing, hand delivering or by mailing it to:Absolutely Magic at 19855 SE Sunnyside Rd, Damascus, OR 97089Hope4agility@yahoo.comWe will contact you to schedule an evaluation session at our daycare once we have reviewedyour application.
About You
Name:_____________________________________________________________Address:____________________________________________________________City:__________________________________State:______Zip:_______________Contact Phone:______________________________________________________Email:______________________________________________________________Emergency Contact:____________________________Phone:_________________Authorized people to pick up dog: (Name/Phone)a)____________________________________________________________b)____________________________________________________________c)____________________________________________________________
 
 
Absolutely Magic: Daycare Application Page 2
How did you hear about us?Internet Search Drive By Flyer, Location of flyer:______________________Veterinary Hospital, Name:___________________ _________________________Person/Client*: _____________________________________________________*We like to acknowledge our clients who refer other guests to our services.Please let us know if you were referred by someone.
About Your Dog
Name:____________________________Breed:____________________________Birthdate:________________ Gender (Circle) Male Female Altered? Yes NoMarkings/Color:_____________________________________________________Where did you get your dog? Shelter(Name)______________________________Breeder__________ Other_____________________________________________How old when you got him/her?________________________________________Has your dog had any formal training? If yes, what type and where?___________ ___________________________________________________________________ ___________________________________________________________________Has your dog attended daycare before? If yes, where?_______________________ ___________________________________________________________________Why do you want your dog to attend daycare?_____________________________ ___________________________________________________________________ ___________________________________________________________________
 
 
Absolutely Magic: Daycare Application Page 3
What type of basic commands does your dog know? ________________________ ___________________________________________________________________ ___________________________________________________________________What behavioral challenge does your dog currently display? _________________ ___________________________________________________________________ ___________________________________________________________________Past behavioral challenges, please list all: _________________________________ ___________________________________________________________________ ___________________________________________________________________Has your dog ever shown aggression toward another dog or person? If yes pleasedescribe: ___________________________________________________________ ___________________________________________________________________ ___________________________________________________________________
Describe your dog’s personality and energy level:
__________________________ ___________________________________________________________________ ___________________________________________________________________
Health
Current Veterinary Hospital:____________________________________________
Veterinarian’s
Name:_____________________Phone:_______________________Does your dog have allergies? If yes please list: ____________________________ ___________________________________________________________________ ___________________________________________________________________

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