On Cloud Canine Daycare Application
We love dogs and want your dog to love coming to our off-leash playgroup. No one knows your dog better than you, so we’d appreciate you taking the time to fill out this application. The more we know about the dogs in our care, the better our playgroups will be. *Please complete one form per pet!*
Sign in to Google to save your progress. Learn more
Email *
Owner's Name *
Phone Number *
Dog's Name *
Breed *
Current Age and how long have you owned your dog? *
Where did you get your dog? *
What knowledge do you have of your dog's past history? *
Why are you considering our off-leash program for your dog? Select all that apply.  *
Required
Which of the following best describes your dogs level of socialization with other dogs?  *

Has your dog had any problems previously in an off-leash social environment? Select all that apply. 

 *
Required

Only complete if you answered yes in the previous question. What reason were you given as to why your dog was dismissed? Select all that apply.

Provide any other comments you want us to know about the above situation.

Please describe your dog’s flea/tick control and prevention program:

 *

Does your dog have any allergies? If yes, please explain. 

 *

Does your dog have any physical disabilities? If yes, please explain disability and cause. 

 *

If answered yes above, what restrictions need to be placed on your dog’s activities or movements?

Does your dog have any medical conditions? If yes, please explain. If medication is used to control the condition, please provide name and dosage. 

 *

Provide details of your dog’s diet:

type (kibble, canned, raw/natural): 

brand (Innova, Iams, Purina, etc.): 

primary protein source:

feeding schedule:

 *

On what type of surface does your dog generally go to the bathroom (e.g., grass, mulch, pee pads)?

 *

Does your dog have any bathroom-related issues or concerns?

 *

How often do you brush or comb your dog’s coat?

 *

How does your dog react to having his/her nails clipped?

 *

Does your dog like to be brushed? If no, what have you tried to make it more enjoyable?

 *

Does your dog have any sensitive areas on his/her body? If yes, where?

 *

Where are your dog’s favorite petting spots?

 *

How frequently is your dog walked outside? How long are your walks?

 *

Check the box below that best represents your dog’s overall level of exercise routine:

 *

Do any visitors bring their dog(s) to your house? If yes, how do they get along?

 *

How does your dog react to a stranger coming into your home or yard?

 *

Does your dog ever bark or growl at anyone passing outside your home or yard? If yes, please explain.

 *

Are there any types and/or breeds of dogs your dog seems to automatically fear or dislike? If yes, please describe.

 *

How does your dog react to puppies?

 *

How does your dog react to another dog approaching him/her in a park, at the beach, or on a walk?

On leash & Off leash if applicable

 *

What kinds of games does your dog play with other dogs?

 *

What kinds of games does your dog play with people?

 *

Has your dog ever shared his/her food or toys with other animals? If yes, how does your dog react to another dog approaching his/her food or toys?

 *

Which commands does your dog know? Select all that apply.

 *
Required

How did your dog get his/her obedience training? (Please check all that apply)

 *
Required

Which of the following best describes the use of obedience cues with your dog at home? Select all that apply.

 *
Required

What kind of a collar do you use to walk your dog?

 *

Is it effective in keeping him/her under control?

 *

Has your dog ever jumped up on someone? If yes, what were the circumstances?

 *

How does your dog act when you get home at the end of the day?

 *

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

 *

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

 *

Is your dog allowed on the furniture at home?

 *

Does your dog have any problems in any of the following areas? Select all that apply.

 *
Required
If you selected any of the above, please explain. *

Does your dog know any tricks? If yes, please describe.

 *

Are there any particular types of people your dog seems to automatically fear or dislike?

 *

Has your dog ever growled at someone? If yes, what were the circumstances and how did you respond?

 *

Has your dog ever bitten a person? If yes, what were the circumstances and how did you respond? Please describe injuries (if any).

 *
Has your dog ever bitten another animal? If yes, what were the circumstances and how did you respond? Please describe any injuries if there were any. *

To the best of your knowledge, what does your dog do when you’re not at home?

 *

Has your dog ever climbed/jumped a fence? If yes, what were the circumstances? How high was the fence?

 *
Has your dog ever escaped from your house or yard? If yes, please explain the circumstances. *
How would you describe the energy level of your dog? *

Has your dog ever chased or tried to chase a small animal? If yes, what were the circumstances?

 *

Has your dog ever chased someone (or wanted to) on a skateboard or bicycle? If yes, what were the circumstances?

 *

Is your dog frightened by thunderstorms? If yes, describe typical behavior & what specifically helps to relax your dog or calm his/her fear.

 *

Is your dog frightened or nervous around anything else? If yes, please explain.

 *

Does your dog play with any toys? If yes, what kinds of toys does your dog like?

 *

Has your dog ever growled or snapped at a person who has taken food or toys away from him/her? If yes, what were the circumstances and how did you respond?

 *

Has your dog ever growled or snapped at another dog who has taken food or toys away from him/her? If yes, what were the circumstances and how did you respond?

 *

Have you ever noticed your dog stopping and staring at another animal? If yes, what were the circumstances?

 *

Other comments or information about your dog that you feel might be helpful?

 *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms