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Canine Aspirations' Bed & Breakfast Application
Application for Canine Aspirations' Bed & Breakfast Boarding Services
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* Indicates required question
Email
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Your email
Owner's Name
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Your answer
What dates are you looking for boarding?
Your answer
Street Address
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Your answer
Phone number
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Your answer
Dog Name
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Your answer
Sex of Dog
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Female
Male
Spayed Female
Neutered Male
Breed or Breeds of Dog (if known)
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Your answer
Dog Age or Birthdate
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Your answer
Dog Weight
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Your answer
Veterinarian Name
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Your answer
Veterinarian Phone
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Your answer
Date of Last Vet Exam
MM
/
DD
/
YYYY
History of Illness?
Your answer
Where did you get your dog? Please be as specific as possible.
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Your answer
If adopted, do you have any knowledge of your dog's past history?
Your answer
How does your dog get along with other animals in the household?
Your answer
How is your dog typically exercised each day?
Your answer
Is your dog used to being crated? If so, what size crate? Plastic or wire?
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Your answer
Does your dog act afraid of any specific items or noises? If so, please explain in detail:
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Your answer
Are there any kinds of people your dog automatically fears or dislikes? If so, please explain in detail:
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Your answer
Has your dog ever growled at anyone? If yes, please explain the circumstances in detail.
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Your answer
Has your dog ever bitten anyone? If yes, please explain the circumstances in detail.
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Your answer
Does your dog have any problems in any of the following areas:
Mouthiness
Barking
Jumping
Digging
Escape Artist
Other:
Has your dog ever escaped from a fenced in yard? If yes, please describe the circumstances.
*
Your answer
Has your dog ever growled or snapped at anyone who has taken his/her food away? If so what were the circumstances?
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Your answer
Has your dog ever growled or snapped at anyone who has taken his/her toys away? If so what were the circumstances?
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Your answer
Has your dog ever shared toys with other animals?
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Yes
No
Does your dog like to play with other dogs? IF yes, what age/size/sex dog/s does he or she typically like to play with?
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Your answer
Has your dog had any obedience training? If yes, when and where?
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Your answer
What cues does your dog know? (Sit, down, stay, come, tricks, etc...)
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Your answer
Any other comments about your dog which you feel might be helpful?
Your answer
I hereby certify that my dog is in good health and has/have not been will with any communicable condition in the last 10 days. I further certify that my dog has/have not harmed or shown aggressive behavior towards another human or any other dog.
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Yes
No
Other:
I understand that I am solely responsible for any harm caused by my dog while my dog is attending Canine Aspirations.
*
Yes
No
A copy of your responses will be emailed to the address you provided.
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