Dog Daycare Application Form

Fields marked with * are required

How did you hear about us?

If referral, please list :

Is your dog :

If not, which dog(s) are intact? :

Health / Vet Information

Any current medical issues we should be aware of? *

Any medications we need to administer while your dog is at daycare? *

Current on vaccinations? *

A copy of your dog’s most recent vaccination record must be emailed or uploaded to us using this form, by you or your veterinarian prior to your dog’s first visit to Dogville. Our email address is INFO@DOGVILLE-DAYCARE.COM.

Current on heartworm preventative? *

Is your dog on monthly flea/tick preventative? *

Previous Daycare Experience

The answers to these questions will help us gauge our ability to provide the most appropriate and enjoyable stay and environment for your dog—please answer them as completely as possible. If multiple dogs, please specify by name when adding comments.

Resource Guarding—Dogs

Has your dog ever gone to daycare before? *

Does your dog have any toys he or she prefers not to share with other dogs? *

How does your dog respond when another dog approaches where he or she is resting? :

Does that change if you have food or treats?

How does your dog let other dogs know he or she doesn’t want to share? Please be specific.

How does your dog respond when a person approaches where she’s resting ?

What about when another person approaches you ?

Does that change if you have food or treats? *

How does your dog let people know he doesn’t want to share?

Dog-Dog Socialization

How many dog friends does your dog have?

How often does your dog have a chance to meet new dogs :

Would you say that your dog warms up to new dogs :

Would you say that your dog is most comfortable :

What does your dog do when he or she meets a new dog for the first time ?

Has your dog ever had a spat with another dog : *

Dog Play

What kind of dog does your dog prefer to play with ?

What kind of dog does your dog prefer NOT to play with ?

Additional Comments

Barrier Frustration

What does your dog do when he or she sees another dog while she’s on leash ?

What does your dog do when he or she sees another dog when she’s behind a fence or looking out through a window, such as at home or in the car?

Has your dog ever jumped or climbed a fence or barrier? *

Dog- People Relations

Would you say that he or she warms up to new people :

Is he or she comfortable:

The following questions have to do with how comfortable your dog is when being in the following situations

Having his or her collar put on and taken off ?

How can you tell?

Having his or her leash put on and taken off ?

How can you tell?

What does your dog do when he or she sees another dog when she’s behind a fence or looking out through a window, such as at home or in the car?

Misc / Other

Has your dog ever had bitten or snapped at a person ? *

Are there any other concerns you have or information you would like to share with us about your dog ? *

Liability Waiver & Policies Agreement


Use this button to upload any documents you think we might need. Vet forms, shot records, photo of your dog, etc.

Please limit files to under 5MB