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Ruff Haus Daycare Application

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Daycare Information Package



Welcome to The Ruff Haus! We are so pleased that you have chosen us as your canine care provider, and we are thrilled to

have you as a member of our pack!





It’s important to us that we learn as much about your dog as possible right upfront so that we can provide the best care

possible and have a better understanding of his/her history, health, behaviour, training, and of course that shining

personality!





Please take your time in answering the following questions about your dog. If you have any questions, or are unsure of

anything at all, please feel free to ask any of our helpful staff. We thank you for being so candid in answering our questions.









Warmest regards,









The Ruff Haus Family









Owner(s)/Guardian(s) Information Date__________________



Last Name___________________________ First Name______________________________

Last Name___________________________ First Name______________________________



Home Address_______________________________________________________________________



_________________________________________________________________________________



Home#_________________________________



Work# ________________________________ Cell#__________________________________



Work#_________________________________ Cell#__________________________________



Email Address________________________________________________________________________



How did you hear about us? ______________________________________________________________



Emergency Contact Information



Veterinary Clinic Name__________________________________________________________________



Phone# ___________________________________________________________________________



In the event of an emergency where we cannot reach you, please supply us with a person to contact. This can be a friend or

family member.



Name_____________________________________________________________________________



Home#_________________________________ Work#______________________________________



Cell#__________________________________



Dog Information



Dog’s Name___________________________________ Date of Birth_____________________________



Please Circle: Male/Female Neutered/Spayed



Breed or Cross: ______________________________________________________________________



Colour/Markings: _____________________________________________________________________









History



Where did you get your dog (breeder, rescue group, pet store, shelter, etc)? _______________________________



_________________________________________________________________________________

How long have you had your dog? __________________________________________________________



If your dog was adopted do you have any knowledge of his/her previous history? If so, please provide us with the details

_________________________________________________________________________________



_________________________________________________________________________________



_________________________________________________________________________________



Has your dog ever attended a Dog Daycare? ____________________________________________________



If yes, what is the name of the last daycare and approximate date of your dog’s last visit?

_________________________________________________________________________________



Behaviour



Does your dog get anxious when left alone? (Whine, bark, pace, etc.) If yes, please explain in detail and what you do about

it. _______________________________________________________________________________



_________________________________________________________________________________



_________________________________________________________________________________



Is your dog mouthy or does he nibble on you? __________________________________________________



Has your dog ever been attacked or very frightened by another dog? If yes please explain and include your dog’s age at the

time, how they reacted, what you did in response to the scenario, and what type of dog the other dog was.

_________________________________________________________________________________



_________________________________________________________________________________



_________________________________________________________________________________



Does your dog bark? If yes, what does he bark at, when and for how long? _______________________________



_________________________________________________________________________________



Is your dog aggressive or reactive while behind a barrier (fence, kennel door, car etc). If yes, please explain what type of

barrier, and who or what they react to. _______________________________________________________



_________________________________________________________________________________



_________________________________________________________________________________



Is your dog frightened by anything (noises, men, hats, other dogs, etc.)? Please be specific.

_________________________________________________________________________________



________________________________________________________________________________



How does your dog react to strangers? _______________________________________________________

_________________________________________________________________________________



Does your dog growl? If yes, is it in play or a warning growl? Please explain or give an example.

_________________________________________________________________________________



_________________________________________________________________________________



Has your dog ever bitten anybody? If yes what were the circumstances? _________________________________



_________________________________________________________________________________



Does your dog share well with other people or dogs? If no please explain. ________________________________



_________________________________________________________________________________



What happens when you or someone else takes toys or food from your dog? _______________________________



_________________________________________________________________________________



Does your dog get along well with other dogs? If no please explain. ____________________________________



_________________________________________________________________________________



Has your dog ever been in a fight with another dog? ______________________________________________



_________________________________________________________________________________



Does your dog prefer to play with any particular type of dog? (Breed, colour, male, female, etc.) __________________



_________________________________________________________________________________



Does your dog have any sensitive areas on the body that he does NOT like being touched? (Feet, ears, tail, etc.)

_________________________________________________________________________________



_________________________________________________________________________________



Rate your dog’s energy level (1 being very mellow, and 10 being uncontrollably hyper)

Please Circle: 1 2 3 4 5 6 7 8 9 10





Training



Has your dog attended any obedience training? __________________________________________________



If yes, what level has been completed? _______________________________________________________



If yes, where did you take your training? ______________________________________________________



What commands does your dog know? _______________________________________________________



_________________________________________________________________________________

_________________________________________________________________________________



Does your dog jump on you or other people? ___________________________________________________



Has your dog ever been crate trained? If yes, do they currently use their crate? ____________________________



_________________________________________________________________________________



Health



Does your dog take medications? If yes, what for, what RX, and how often?

_________________________________________________________________________________



_________________________________________________________________________________



Does your dog have any past injuries or any current conditions? If yes, please explain in detail.

_________________________________________________________________________________



_________________________________________________________________________________



Does your dog suffer from any known allergies? If yes, please explain.

_________________________________________________________________________________



_________________________________________________________________________________







Thank you for taking the time to answer our questions, one of our staff members will be happy to review

your answers with you and book a behaviour consultation for your dog.









Vaccine Policy



To ensure a smooth check in process for your dog and others, please read the following policies very carefully.



 We require that all dogs over the age of 6 months be current on vaccines in order to attend our daycare.

 Puppies under the age of 5 months must have their second set of vaccines, and Bordetella, proof of further

vaccinations will be required at 6 months of age.

 All vaccines must be administered a minimum 48hours PRIOR to your dogs first day of care.

 Certificate of vaccination must be provided PRIOR to your dog’s first day of care.





We require that all dogs be current on the following vaccines:

-Bordetella (Canine Cough)

-Distemper

-Hepatitis (Adenovirus)

-Parainfluenza

-Parvovirus

-Rabies



Veterinarian protocols for vaccination schedules can vary. With this in mind, please consult your veterinarian regarding the

proper vaccinations and schedule for your dog, considering they will be attending daycare and please ensure they are kept

current.



Parasite Control Policy

All dogs attending our daycare facility are required to be on an effective parasite (flea, tick, worm, etc) control program-

either monthly or seasonally (May-November)



It is suggested that you discuss with your veterinarian which product is most suitable for your dog considering their health

and attendance at daycare.







We thank you for your co-operation in contributing to our safe and healthy environment!



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