EmailMe Form - Finger Lakes Pet Resort Play Group Questionnaire

Owner Information

Full Name *

First Last

Second Name On Account

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Cell Phone *

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Home Phone *

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Work Phone *

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Email *

Confirm

Emergency Contact Full Name *

First Last

Contact Number *

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Dog's Information

Dog's Name *

Birthday Or Age *

Male Or Female *

Male

Female

Spayed/Neutered? *

Yes

No

Breed *

Color *

Veterinarian *

Veterinarian Phone Number *

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Upload Your Dog's Vaccination Records

Required vaccinations include distemper combo vaccine, rabies vaccine, and bordatella (kennel cough) vaccine.

Where Did You Acquire Your Dog? *

Is This Your Dog's First Daycare Experience? *

Yes

No

If Other Is Selected, Please Explain.

If No, Please Explain Reason For Leaving Previous Daycare.

Dog's Behavior

Is Your Dog Possessive Of Any Toys, Foods, Or Objects? *

Yes

No

If Yes, Please Explain.

Has Your Dog Ever Shared His/Her Food Or Toys With Other Dogs? *

Yes

No

Has Your Dog Ever Growled Or Snapped At Anyone Taking Food Or Toys Away? *

Yes

No

If Yes, Please Explain.

Is Your Dog Afraid Of Any Types Of Other Dogs? *

Yes

No

Examples: Male, Brown, Large, Etc.

If Yes, Please Explain.

Has Your Dog Ever Bitten Someone? *

Yes

No

If Yes, Please Explain.

Has Your Dog Ever Bitten Another Dog? *

Yes

No

If Yes, Please Explain.

Has your dog ever been bitten by another dog? *

Yes

No

If Yes, Please Explain.

Does your dog enjoy playing with new dogs? *

Yes

No

If Yes, Please Explain.

Is Your Dog Afraid Of Any Specific Items And/Or Noises? *

Yes

No

If Yes, Please Explain.

Does your dog enjoy making new dog friends? *

Yes

No

If Yes, Please Explain.

How Does Your Dog React To Unfamiliar Dogs? *

Is Your Dog Crated At Home? *

Yes

No

What Is Your Dog's Training History? Please Select All That Apply. *

If Other Is Selected, Please Explain.

Health

Is Your Dog Sensitive About Any Parts Of Their Body? *

Yes

No

If Yes, Please Explain.

Does Your Dog Have Any Food Allergies? *

Yes

No

If Yes, Please Explain.

Do You Use Flea And Tick Prevention On Your Dog? *

Yes

No

Does Your Dog Have Any Physical Problems Or Disabilities That May Affect Them In Play Groups? *

Yes

No

If Yes, Please Explain.

How Much Exercise Is Your Dog Currently Receiving Per Day? *

Please Note Any Questions, Issues, Or Concerns Here.

What is the first date that you are interested in bringing your dog for daycare/play groups? *

How Did You Hear About Us? *

Finger Lakes Pet Resort Reserves The Right To Restrict Your Dog From Activities Due To Behavioral Issues And/Or Health Issues. All daycare packages are non-refundable.

Owner Signature *

Clear