Wags Daycare for Dogs                                                        167 Leighton Rd  ~  Augusta, ME  04330                                                                phone: (207) 626-9247 (WAGS)  ~   fax: (207) 626-9247                                                                                    email: wagsdaycare@yahoo.com                                                             PET PROFILE FORM GENERAL INFORMATION Owner’s Name  _____________________________ Tel/Cell#  _____________________ Email _________________________ Address ____________________________________City _________________________State __________________________ Dog’s Name _________________________________Dog’s Breed        _________________ Gender: M     F ______________ Dog’s Birth Date  ________________________________ Spayed/Neutered at what age? _______________________________ How long have you owned your dog? ________________ Where did you get your dog?  _______________________________ If adopted, what knowledge do you have of your dog’s past history? _______________________________________________ How did you hear about Wags Daycare? ______________________________________________________________________ HEALTH What allergies does your dog have, if any? _____________________________________________________________________ Is your dog currently taking any medications or vitamins for health or illness?  Please list any instructions:  _________________ ________________________________________________________________________________________________________ Does your dog have any physical limitations that need special attention or that may prevent certain types of play?   ________________________________________________________________________________________________________ Are there any sensitive areas on your dog that should not be touched? ________________________________________________ How often is your dog brushed and is it a happy experience for him? _________________________________________________ Is your dog allowed treats at Wags Daycare (we provide biscuits, cookies, etc.)? If so, what is the limit per day?______________ SOCIAL SKILLS What does your dog do when meeting new dogs and people?   Is the behavior different on or off leash? ______________________ __________________________________________________________________________________________________________ How does your dog get along with other animals in your household? __________________________________________________ __________________________________________________________________________________________________________ Has your dog ever snarled at someone? __________________________________________________________________________ Bitten someone? ____________________________________________________________________________________________ Bitten another dog or cat (not play-biting)? _______________________________________________________________________ How does he/she react to puppies? _____________________________________________________________________________ How does your dog react to children? ___________________________________________________________________________ What kind of games does he/she play with other dogs? _____________________________________________________________ How many times per week is your dog taken for walks? __________________________   Does he/she enjoy them?     Y     N Has your dog been to any playgroups?  If so, how many dogs play together at a time?____________________________________ Are there any dog breeds, genders, or traits that your dog always dislikes? _____________________________________________ __________________________________________________________________________________________________________ What type of dogs does your dog prefer to be around? (I.e., small, females, playful, calm, big, etc.) _________________________ __________________________________________________________________________________________________________ BEHAVIOR Does your dog dig, scale walls and/ or jump fences?  Please explain. __________________________________________________ Does your dog escape or sneak through doors, etc.?  Please explain.___________________________________________________ What does your dog do when you are not at home? ________________________________________________________________ What kind of toys and games does your dog like? __________________________________________________________________ Does your dog share toys with other dogs? _______________________________________________________________________ Has your dog ever guarded any toys, food, or other items? Please explain. ______________________________________________ Reacted negatively when someone took food or toys away? __________________________________________________________ Has your dog ever had any formal obedience training?        Y        N What commands does your dog respond to (ex. sit, stay, come, no bark, etc.)? __________________________________________ Does your dog have a specific command to “go to the bathroom”? ____________________________________________________ Does your dog have any problems in the following areas?  (If yes, please describe.)   Housetraining?  ________________________ Barking? ______________________  Jumping? _____________________________ Bolting? _______________________________ Is your dog anxious around or frightened by any particular…Noises?  ______________________ Actions? ___________________ Objects? _________________________________   Types/Genders of people? __________________________________________ Does your dog ever behave in ways that are unacceptable to you or to others?  Please explain: ______________________________ __________________________________________________________________________________________________________ Please list any friends and/or family that are allowed to pick your dog up from daycare: __________________________________________________________________________________________________________ Other Comments: ___________________________________________________________________________________________ __________________________________________________________________________________________________________ Owner’s Signature: _______________________________________________           Date: ________________________________