Daycare Client Questionnaire Daycare Client Questionnaire Daycare Client Questionnaire Client's Name * Client's Name First First Last Last Date * Phone * Email * Dog's Name * Dog's Age Dog's Breed Date of Adoption Is your dog spayed/neutered? Yes No Most recent vet visit and results Any current medical issues? Yes No Current on vaccinations? Current on Physical exam Rabies vaccine (rabies titers are NOT accepted) Distemper / parvo combination (or equivalent titer) Bordetella vaccine Canine influenza vaccines Leptospirosis vaccine Has your pet ever had any training? Yes No If so, when & for how long? Do you think it benefitted your pet? Are there any key words you use specifically for training that we can use while your pet is at daycare? How frequently do you plan on bringing your pet to daycare? All dogs will be required to pass a temperament test prior to admission to day care. Dogs must be current on heartworm and flea prevention. All dogs must be spayed or neutered. All Vaccines must be complete 2 weeks prior to entry to day care or boarding to ensure adequate immunity, If you are a LePar client, we will review your dog’s vaccine records and contact you if any updates are needed. If you are not a current LePar client, please email us records at daycare@leparvet.net or provide us with the name of the clinic where your dog last received it's vaccines and we will contact them If any updates are required, we will contact you If you are human, leave this field blank. Next
