After completing the application form below and sending it in to us, we will contact you upon verification of your pets
information. We will arrange a time for an initial interview with you and your pet(s). Upon successful completion of this
interview your pet will be scheduled for a trial day care period (6 hours). There is a $25.00 non refundable application
fee due at the time of this initial interview which covers the cost of the application and the pets trial period in daycare.
If your pet is successful in the trial day care their file will be coded as approved which will allow you to make future
reservations for day care, either by telephone or on line. No pet is permitted into day care unless they have passed the
application, interview and trial period, it is for the safety of all pets.
Additionally, all owners are required to sign a release form which will be presented during the owners interview.
Once you fill out the application either click the send button at the bottom, or print and fax the application to us at
404-636-4903.
All appointments must be made 24 hours in advance of the date and time of your appointment.
Owners Information
* Primary Owner Name (s):
* Email Address (es):
* Address:
* City:
* State:
* Zip Code:
* Home Phone:
* Work Phone:
* Emergency Phone:
Cell Phone:
Fax:
* Who also has authority to pick up or drop off your pet?
Emergency Information
Are your pets microchiped or tattooed?
Microchip
Tattoo
Pet Specifics
* Name:
* Breed:
* Date of Birth or Age:
* Sex:
Female
Male
* Spayed / Neutered: (all pets must be spayed or neutered)
Yes
No
If female, when was your pets last cycle:
*Weight:
* Color:
* Markings:
* Disabilities:
* Describe your dogs interaction with other people:
If other, please describe:
* Describe your dogs temperament:
If other, please describe:
* Does your dog have any behavioral issues?
Yes
No
If yes, please explain:
* Has your dog ever bitten or been bitten?
Yes
No
If yes, please explain:
* Has your dog attended day care before?
Yes
No
If yes, please explain:
* Has your dog ever attended obedience training?
Yes
No
If yes, please explain:
* Does your dog know basic commands (sit, come, stay)?
Yes
No
If yes, please explain:
Is your dog house trained?
Yes
No
Is your dog crate trained?
Yes
No
Pets Health
* Veterinarian:
* Clinic Name:
* Address:
* Phone Number:
* Fax:
Please describe your pets general health. Include any current medical conditions.
* Allergies:
* Current Medications:
* Frequency and time administered:
* Date of last complete physical exam:
* Date of last fecal exam:
Vaccinations
* Rabies:
Date Administered
Date Due
* DHLP:
Date Administered
Date Due
* Parvo:
Date Administered
Date Due
* Bordatella:
Date Administered
Date Due
* Heartworm Medication:
Date Administered
Date Due
* Method of Flea and Tick Control:
Date Administered
Date Due
Your Pets Daily Life
Wake up Time:
Regular Food:
Brand:
Variety:
Feed Times:
Quantity:
Instructions for Exercise / Walk Times:
Typical Elimination Times:
Sleep Time:
Special Instructions or Concerns
