Dog Application | Bark N Fly Online

OWNER INFORMATION

* These fields are required.

*Owners Name:

Spouse Name:

*Address:

*City:

*Province:

*Postal Code:

*Home Phone:

Work Phone:

Cell Phone:

Spouse Cell Phone:

Spouse Work Phone:

*Email:

*Best number to reach you at?

EMERGENCY CONTACT

This person is also able to make emergency decisions and/or pick up.

Person to contact if you or your spouse can not be reached:

Relationship to you:

Address:

Home Phone:

Work Phone:

Cell Phone:

AUTHORIZED PERSON(S) TO PICK UP YOUR DOG: (PICTURE ID REQUIRED)

Name:

Phone:

Name:

Phone:

VETERINARY INFORMATION

Veterinarians Name:

Hospital or Clinic Name:

Address:

Phone:

After hours/emergency phone:

Maximum amount of money to spend in case of emergency and we cannot reach you:

PET INFORMATION

Pet Name:

Pet Birthday:

Breed:

Sex:

Age:

Neutered/Spayed:
Yes No

Weight:

Color/Markings:

License#:

Tattoo:

Microchip:

VACCINATIONS (EXPIRY DATE)

Distemper:

Parvovirus:

Parainfluenza:

Hepatitis:

Bordetella (kennel cough):

Rabies (optional):

Do you use flea/tick treatment?
(if so which kind):

** please bring a note from your vet verifying proof of current vaccinations or bring in their vaccination records**

GENERAL

How long have you owned your dog?

Have you owned your dog since he/she was a puppy?
Yes No

If no, do you have good knowledge of you dogs prior history? Please explain:

Has your dog been to a daycare/boarding facility before?
Yes No

If yes, explain any problems/concerns associated with the use of such facility:

How often did your dog attend the facility?

What do you do with your dog when you're not home?

BEHAVIOURAL

How would you explain the personality type of your dog?

Does your dog play well with others ?
Yes No

If no, please explain:

Have you visited off leash parks?
Yes No

Any issues in that environment?

Has your dog ever shown aggression towards people?
Yes No

If yes, please explain:

Has your dog ever bitten a person hard enough to break the skin? Explain the circumstances and cause (if known):

Has your dog ever been involved in an altercation with another dog?
Yes No

Do you know what caused the altercation?

What was the outcome? Were there injuries sustained to either dog?

Is there anything specific that sets your dog "off" or makes him/her upset?

Has your dog ever reacted negatively when someone took away food or toys?
Yes No

If yes, please explain:

FEEDING/ALLERGIES/MEDICATIONS

Please provide your dog's feeding times and portion amounts (ie cup size):

** Please provide an ample amount of your dogs food in a sealable container when dropping your dog off **

Does your dog have any specific dietary restrictions? ( ie low calorie, allergies to food/treats) Please list and explain:

Is your dog allowed snacks/treats?:
Yes No

Does your dog have any allergies/sensitivities?( ie bee stings, bug bites, weeds, grasses, pollen) that we should know about?
Yes No

If yes, please explain:

Does your dog need to be given any medications?
Yes No

If yes, please explain (time of day, dosage and application method):

Has your dog been sick recently:
Yes No

If yes, please explain:

FACILITY/ACTIVITY LEVEL/TRAINING Is your dog comfortable on a leash?
Yes No

Is your dog known to be an escape artist?
Yes No

If yes, please explain: (ie scaled fence, dug under, or able to open latches)

Does your dog have any problems in the following areas: (please check all that apply)
Barking House Training Digging Chewing/Destructiveness Separation Anxiety Jumping/Climbing

Does your dog have difficulty seeing or hearing?
Yes No

If yes, please explain:

Describe your dogs activity level and/or any restrictions that should be placed upon your dogs activities?

Is your dog easily scared by anything? (noises, actions, smells, or certain objects):

Is there any particular type of person your dog tends to dislike or fear? (ie gender, children, or people in uniform):

Has your dog ever had any formal obedience training?
Yes No

Whether formally trained or not, what commands does your dog understand?

Does your dog know any hand signals?

Does your dog have a release word?

PLAY TIME FUN (optional)

What is your dog's favorite thing to do?

Where is your dogs favorite place to be scratched or petted?

What does your dog do to show that he/she is happy?

What kind of toys does your dog like?

What type/size of dog(s) does your dog like to play with?

Does your dog like to play in the water/sprinkler?

Is it permissible for your dog to have playtime access to water park/sprinkler as they may be dirty/muddy when entering your vehicle upon pick up?
Yes No

Any additional information that you feel would enhance your dogs stay?

How did you hear about Bark n'Fly?

Note** we use these answers to gauge socialization skills and make your pets stay as fun as possible. These answers will also help keep our other guests and staff members safe.

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5830 Old Vernon Road
Kelowna, BC
V1X 7V2

Contact Us

Phone: 250.765.8100
Fax: 250.765.8105
Email: [email protected]

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