Camper Information

Camper's Name

Camper's Breed

Camper's Sex

Is your camper spayed or neutered?

Camper's Weight

Camper's Birthdate

YYYY

Is your camper housebroken?

How long have you had your camper?

In a few words/sentences describe your camper.

Camper Behavior

Does your camper play well with other dog's of their size?

If no, please expand.

Is there any person, type of dog or situation your camper is uncomfortable with?

If yes, please expand.

Does your camper walk well on leash (i.e. no pulling)?

Does your camper have a reliable recall (they come when called despite distractions)?

Yes

Has your camper ever jumped or climbed a fence or gate?

If yes, please expand.

Are there any spots on your camper's body that they do not like to be touched?

If yes, please expand.

Has your camper ever growled when food or toys have been taken away from them?

If yes, please expand.

Has your camper ever shown teeth, growled, nipped, snapped at, bit or put their mouth on a person or dog?

If yes, please expand.

Is your camper afraid of thunderstorms or other loud noises?

If yes, please expand.

Is there anything else we should know about your camper i.e allergies, medical needs?

Has your camper ever attended pet obedience classes or had private training? If yes, where or who did you train with and about how many hours of training did your pup complete?

Has your camper ever attended daycare? If yes, where and for how long?

Camper's Vet Information

Include vet name, address and phone number

Is your camper up to date on the following: Rabies, Distemper, Parvo, Bordetella, Flea/Tic?

Proof of vaccines is required prior to admission into camp.

Owner Information

Parent's Name

First Name

Last Name

Phone

(###)

###

####

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact (Other than yourself)

In the event that we are unable to reach you please provide an emergency contact

First and Last Name

Relationship

Phone

(###)

###

####

How'd you hear about us?

By selecting yes, I acknowledge that I have read and answered all above questions truthfully. I understand failure to be truthful will result in immediate dismissal.

Yes

© 2018 TOP DOG DAY CAMP NJ

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