Daycare & Boarding Intake Form

NEW CLIENT APPLICATION FORM
Owner Information
Owner Name*

First NameLast Name
Email:*
Cell Phone:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you inquiring for daycare, boarding, or both?*

DaycareBoardingBoth
How many dogs do you have? (Only include those who will be attending daycare and/or boarding)*

1 Dog2 Dogs3 Dogs
Dog Information
Dog's Name:*
Breed: *
Date Of Birth:*
Gender:*

MaleFemale
Spayed / Neutered?*

YesNo
How is your dog when in a kennel?*

Loves it!Doesn’t mind it but would rather be out and aboutNot a big fanThey are a bit of an escape artistMy dog has never used a kennel before
How is your dog when meeting other dogs?*

Super friendly, tail wagging!A little unsure, but great once introductions are done!Wary of new dogs, prefers peopleBarks and growls at other dogsMy dog has never socialized with other dogs before
How is your dog when meeting new people?*

Super friendly, tail wagging!A little unsure, but great once introductions are done!Wary of new people, prefers other dogsBarks and growls at new peopleMy dog has never socialized with other people before
How is your dog around others when eating?*

Fine with people, not with other dogsFine with other dogs, not with peopleDoes not like people or dogs around them when eatingFine with both people and dogs!Unsure
Does your dog have any particular habits we should know about? This is just so we can help accommodate your dog’s needs during their first visit. (Example: nipping, excessive barking, fearful of men, not house-trained, fearful of loud noises, etc)*
Does your dog have any current or past medical conditions we should be aware of? (Example: hip dysplasia, diabetes, cancer, etc)*
Check All Vaccinations Your Dog Is Currently Up To Date With:*

RabiesDistemper ParvoBordatella, Every Six MonthsFecal Test, Every Six Months
Dog #2 Information
#2 Dog's Name:*
#2 Breed: *
#2 Date Of Birth:*
#2 Gender:*

MaleFemale
#2 Spayed / Neutered?*

YesNo
#2 How is your dog when in a kennel?*

Loves it!Doesn’t mind it but would rather be out and aboutNot a big fanThey are a bit of an escape artistMy dog has never used a kennel before
#2 How is your dog when meeting other dogs?*

Super friendly, tail wagging!A little unsure, but great once introductions are done!Wary of new dogs, prefers peopleBarks and growls at other dogsMy dog has never socialized with other dogs before
#2 How is your dog when meeting new people?*

Super friendly, tail wagging!A little unsure, but great once introductions are done!Wary of new people, prefers other dogsBarks and growls at new peopleMy dog has never socialized with other people before
#2 How is your dog around others when eating?*

Fine with people, not with other dogsFine with other dogs, not with peopleDoes not like people or dogs around them when eatingFine with both people and dogs!Unsure
#2 Does your dog have any particular habits we should know about? This is just so we can help accommodate your dog’s needs during their first visit. (Example: nipping, excessive barking, fearful of men, not house-trained, fearful of loud noises, etc)*
#2 Does your dog have any current or past medical conditions we should be aware of? (Example: hip dysplasia, diabetes, cancer, etc)*
#2 Check All Vaccinations Your Dog Is Currently Up To Date With:*

RabiesDistemper ParvoBordatella, Every Six MonthsFecal Test, Every Six Months
Dog #3 Information
#3 Dog's Name:*
#3 Breed: *
#3 Date Of Birth:*
#3 Gender:*

MaleFemale
#3 Spayed / Neutered?*

YesNo
#3 How is your dog when in a kennel?*

Loves it!Doesn’t mind it but would rather be out and aboutNot a big fanThey are a bit of an escape artistMy dog has never used a kennel before
#3 How is your dog when meeting other dogs?*

Super friendly, tail wagging!A little unsure, but great once introductions are done!Wary of new dogs, prefers peopleBarks and growls at other dogsMy dog has never socialized with other dogs before
#3 How is your dog when meeting new people?*

Super friendly, tail wagging!A little unsure, but great once introductions are done!Wary of new people, prefers other dogsBarks and growls at new peopleMy dog has never socialized with other people before
#3 How is your dog around others when eating?*

Fine with people, not with other dogsFine with other dogs, not with peopleDoes not like people or dogs around them when eatingFine with both people and dogs!Unsure
#3 Does your dog have any particular habits we should know about? This is just so we can help accommodate your dog’s needs during their first visit. (Example: nipping, excessive barking, fearful of men, not house-trained, fearful of loud noises, etc)*
#3 Does your dog have any current or past medical conditions we should be aware of? (Example: hip dysplasia, diabetes, cancer, etc)*
#3 Check All Vaccinations Your Dog Is Currently Up To Date With:*

RabiesDistemper ParvoBordatella, Every Six MonthsFecal Test, Every Six Months
Who is your current vet? Please list somewhere local. if you are new to the area, please list who you intend to use moving forward.
How did you hear about us? We like to thank those that refer us!
Are you applying for our Windham or Nashua location?*

WindhamNashua

www.WoofWoof.net

(603)-890-6239

woofwoofdaycare@gmail.com

47 Rockingham Road,

Windham, NH 03087

(603)-577-1576

woofwoof.nashua@gmail.com

18 Airport Road,

Nashua, NH 03063

E-mail
Should be Empty:

NEW CLIENT APPLICATION FORM

Owner Information

Dog Information

Dog #2 Information

Dog #3 Information