How did you hear about Rover Come Over? _____________________________________
Dog's Name: ___________________
Dog's birth date: __________ Dog's breed, sex, and age: _________________________
Is your dog spayed/neutered? ______________________________________________
Where did you get your dog? ______________________________________________
If adopted, do you have any knowledge of your dog's past history? __________________
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Is your dog current on ALL vaccinations?_______yes________no
How many days a week are you considering doggy daycare? _________ Preffered days_________________
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What flea program is your dog on? ______________________________________
What type of dog food do you feed your dog?_______________________________
Is it okay to give your dog treats during the day?____________________________
Does your dog have hip dysplasia? ________ yes ________ no
If yes, what restrictions need to be placed on your dog's activities or movements? ________
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Does your dog have any allergies? ___________________________________________
Does your dog like to be brushed? ________ yes ________ no
Do you regularly clean your dogs teeth_________ ears__________?
How does your dog react to having his/her nails clipped? ___________________________
Does your dog have any sensitive areas on his/her body? ___________________________
Does your dog act afraid of any specific items or noises? If so, please explain: ___________
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Are there any kinds of people your dog automatically fears or dislikes? ________________
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Are there any kinds of dogs your dog automatically fears or dislikes? __________________
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How does your dog react to puppies? _________________________________________
Does your dog use a dog bed, couch, rug or mat to sleep on?
Has your dog ever:
Growled at someone? ______ yes _______ no
What were the circumstances: __________________________________________
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Bitten someone? ______ yes ________ no
What were the circumstances: __________________________________________
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Does your dog have any problems in any of the following areas: (if so, please explain)
Mouthiness: ____________________________________________________________
Housetraining: ___________________________________________________________
Barking: _______________________________________________________________
Digging: _______________________________________________________________
Jumping: ______________________________________________________________
Has your dog ever growled or snapped at anyone who has taken his/her food or toys away from him/her? ________ yes ________ no
Has your dog ever shared his/her food or toys with other animals? _______ yes ______ no
Does you dog play with any toys? ______ yes ______ no
If yes, what kind of toys does your dog like and what games does he/she play? __________
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Does your dog play with other dogs? ______ yes ______ no
Has your dog ever had any formal obedience training? ______ yes ______ no
If yes, when and where? ___________________________________________________
What commands does your dog know? ________________________________________
Does your dog know a bathroom command? ____________________________________
Does your dog know a quiet command? _______________________________________
Does your dog know any play commands? _____________________________________
Other comments about your dog which you feel might be helpful: _____________________
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I understand that I am soley responsible for any harm caused by my dog(s) while my dog(s) is/are attending Rover Come Over, INC.. I further understand and agree that in admitting my dog(s) to Rover Come Over, INC., Rover Come Over, INC. has relied on my representation that my dog(s) is/are in good health and have not harmed or shown aggressive or threatening behavior towards any person or any other dog. I further understand and agree that Rover Come Over, INC. and it’s staff and volunteers, will not be liable for any claims, provided reasonable care and precautions are followed, and I hereby release them of any liability of any kind whatsoever arising from my dog(s) attendance and participation at Rover Come Over, INC..
I further understand and agree that any problems which develop with my dog(s) will be treated as deemed best by staff and volunteers of Rover Come Over, INC.., at their sole discretion, and that I assume full financial responsibility for any and all expenses involved (including transportation form a veterinarian or kennel).
Rover Come Over, Inc. will not be held responsible for any items left at daycare, or for flea and/or tick infestation. Rover Come Over, Inc. has the right to terminate the relationship at any time.
I agree to give 24 hour notice for reservations and cancellations. I acknowledge that Rover Come Over, Inc. will charge a fee for all no shows, same day cancellations and all late pick ups.
I certify that I have read and understand the policies of Rover Come Over, INC. as set forth in the above agreement and that I have read and understand the conditions, and statements of this agreement.
Canton Massachusetts
Dated: ______________________________________________
Signature of Owner: ____________________________________
Name(s) of dog(s): ________________________________
_______________________________________________
Name: ________________________________________________________________
Address: ______________________________________________________________
Home phone: ___________________________ E-Mail:_________________________
Name: ________________________________________________________________
Address: ______________________________________________________________
Phone: ___________________________ E-Mail: _____________________
Name: ________________________________________________________________
Home phone: __________________________ Work phone: ______________________
List any person authorized to pick-up your dog if you cannot: __________________________________________________________________
Name: ________________________ Breed: ___________________ Sex: ___________
Age: ________________ Weight: ________________
Name: ________________________________________________________________
Address: ______________________________________________________________
Phone: ______________________________________
I, _______________________________, hereby certify that my dog(s): ______________
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is (are) in good health and have not been ill with any communicable condition in the last 30 days.
I further certify that my dog(s) have not harmed or shown aggressive or threatening behavior towards any person or any other dog.
Medical Information:
Rabies expiration: _______________________
DHLPP expiration: ______________________
Bordatella expiration: ____________________
Canton Massachusetts
Date: __________
Signature of Owner: ___________________________