Enrolment Form
  1. Owner Information
  2. Owners Name(*)
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  3. Address(*)
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  4. Mobile(*)
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  5. Home Phone
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  6. Work Phone
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  7. Email(*)
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  8. Emergency Contact
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  9. Please indicate whether you are a Day Care client, Grooming client or both
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  10.  
  1. Pet Information
  2. Dogs Name
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  3. What is your dogs date of birth?
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  4. Breed
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  5. Sterilized
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  6. Sex
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  7. Veterinary Clinic
  8. Practice
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  9. Contact Number
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  10. Address
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  11.  
  1. General Information
  2. How did you hear about K9to5?
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  3. Has your dog ever attended day care before?
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  4. Has your dog ever been groomed before? If yes, how was their overall behaviour?
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  5. If you have applied for daycare, would you be interested in getting your dog groomed with us?
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  6. Would you be interested in our pet taxi services (within 6.5km of our premises)?
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  7. Health & Grooming
  8. Is your dog on a flea prevention program?
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  9. Is your dog wormed regularly for both Gastrointestinal and Heartworm?
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  10. Does your dog have any hip/joint problems?
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  11. Does your dog have any sensitive areas on his/her body that he does not like touched?
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  12. How does your dog react to having his/her nails clipped?
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  13. Does your dog take any medications? (Aside from prevention)
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  14. Has your dog been sick recently?
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  15. If yes, when, what was treatment?
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  16. Does your dog have any known allergies or food restrictions?
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  17.  
  1. Behaviour
  2. How does your dog react to people/dogs coming into your house?
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  3. if other, please specify
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  4. Are there any kinds of people/dogs that your dog automatically fears or dislikes?
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  5. if other, please specify
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  6. Has your dog ever bitten another dog?
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  7. What were the circumstances?
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  8. Is your dog overly frightened or nervous about anything?
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  9. (Vacuum, thunder, umbrella’s)
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  10. How does your dog react to other dogs approaching when you are out on a walk? Growl, bark, wag tail? etc.
  11. On lead
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  12. Off lead
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  13. Has your dog ever jumped or climbed over a fence?
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  14. If yes, how high was it
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  15.  
  1. Does your dog have any problems in the following areas?
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  2. Has your dog ever growled at anyone or another dog when they take food or toys away?
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  3. How often and where does your dog socialize with other dogs?
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  4. Is your dog fearful or aggressive around small or large dogs?
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  5. Are you able to remove things from your dog’s mouth?
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  6. How does your dog react to puppies?
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  7. What obedience training has your dog had?
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  8. What commands do they understand?
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  9. Please attach a copy of your dogs Vaccination Certificate
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  10. Please attach a copy of your dogs Sterilisation Certificate
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  11. Invalid Input
  12. Antispam(*)
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Testimonials

  • I just wanted to say thank you for all the wonderful care that you have given to Shalay since we relocated to Perth. As you know she is becoming part of a new family and whilst we will miss her, I thi...

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