Smarter than your Dog!
Day Care Application
9119 Molly Lane #101, Anacortes, WA 98221 (this is not a mailing address)
(360) 299-2155 info@smarterthanyourdog.com
Smarter than your Dog! Day Care emphasizes the development of stable canine packs. For your dog’s well-being,
your dog must be brought to day care on the same day each week. Your dog will become familiar with the dogs in
attendance on their day and will learn/ practice appropriate canine-canine social skills because they will be under full
supervision. They will enjoy a rich, stimulating day, play and go home tired.
If this sounds like a good fit for your needs, please follow these steps:
1. Schedule a Handling/Evaluation Appointment by calling (360) 421-5968, (360) 293-2155, or emailing a request
to info@smarterthanyourdog.com. (The Evaluation will assure us that your dog is safe for our staff to approach
and handle while on the day care floor.)
2. Please complete this application and bring it with you to the Handling/Evaluation Appointment.
3. Bring a copy of your dog’s current immunization records or fax in advance to (866) 850-7557.
Owner name (1):
Owner name (2):
Contact Telephone number (1):
Contact Telephone number (2):
Contact Telephone number (3):
E-mail Address:
My dog’s name:
My dog’s breed:
My dog’s birthday:
My dog has a microchip:
Yes
No
My dog's age:
Male
Female
My dog is
spayed/neutered:
Yes
No
In case of a medical emergency with my dog, my dog's vet is:
Phone #:
My dog has the following health problems:
Bladder Control
Arthritis
Dental Problems
Allergies
Seizures
Ears / Hearing
Eyes / Vision
Diabetes
Other / Explain:
© Smarter Than Your Dog
(360) 421-5968 or (360) 293-2155
9119 Molly Lane #101, Anacortes WA 3/1/2014
My dog has these behavioral tendencies:
Fence jumper
Loud noise fear
Not housebroken
Barker
Anxiety
Dislikes small dogs
Dislikes large dogs
Aggression
Separation Anxiety
Excitement / Submissive Urination
Has bitten a person
Has bitten another dog
Dislikes women
Dislikes men
Tell me anything else we should know about your dog:
House Rules
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Dogs must be dropped off between 7:30 and 9:30 am. No dogs are received after 9:30 as it is disruptive to
pack stability. Dogs must be picked up by 5:30.
New dogs to day care must be dropped off at 7:30. This helps them accommodate to the facility and pack.
Owner Initials: _________
Owners of dogs that have a condition that is infectious or transmissible to staff or other dogs will be asked
to immediately pick up their dog. Dogs may be readmitted to day care with a vet's release.
Owners who opt out of immunization protocols must provide a veterinarian acknowledgment.
Owner Initials: _________
Dogs over 6 months of age must be spayed or neutered. (Unspayed/unneutered dogs are disruptive to a
canine pack. Males: persistent & excessive mounting, increased agitation by other males. Females: Extreme
harassment/interest from males). We will closely monitor unspayed/unneutered pups for behavior changes
related to this hormonal influence and notify an owner when we see these changes.
Owners who choose to not spay/neuter their dogs demonstrating these behaviors may be asked to remove
their dog from day care because of the disruption related to the dog's hormonal influence.
Owner Initials: _________
Dogs with excessive energy (extreme and long lasting running/barking) are disruptive to the other dogs at
day care. If your pet exhibits these behaviors. Our staff will talk with you about methods for reducing these
disturbances. Owners of dogs that show continued issues may be asked to remove their dog from day care.
Owner Initials: _________
Owner Signature
Allows ears to be
handled
Date
Allows paws to be
handled
Smarter Than Your Dog Evaluator
© Smarter Than Your Dog
(360) 421-5968 or (360) 293-2155
Allows teeth inspection
Will accept being
lifted
Date
9119 Molly Lane #101, Anacortes WA 3/1/2014