Application for Dog Day Care Play Groups

If you are interested in enrolling your dog into a Courteous Canine structured, safe and fun dog day care group then please complete this form. We will then contact you to schedule a screening appointment.

First Name
Last Name:
Email Address:
How did you hear about us?
Home Phone:
Which dog daycare groups are you interested in?
Monday (Medium/Large Dog)
Tuesday (Medium/Large Dog)
Wednesday (Medium/Large Dog)
Thursday (Medium/Large Dog)
Friday (Medium/Large Dog)
Best time to call:
Dog Name
Dog Breed
Dog Age
How old was your dog when you got him/her?
Is your dog spayed/neutered? Yes No
Has your dog ever jumped a fence? Yes No
Can your dog jump a 4-foot fence? (Our fencing is 6-feet but some internal fencing is 4-feet) Yes No
Please indicate that all of these apply to your dog
Your dog is comfortable and friendly around other dogs and people
Your dog does not have a bite or growl history with other dogs or people
Your dog attended a positive reinforcement puppy class
Your dog has had positive ongoing socialization experiences
Your dog is comfortable relaxing in a crate when tired
Your dog does not guard toys, treats or people.
Please indicate that you are informed and agree to pay a late fee of $10 per 15 minutes late for picking up your pet.
Yes No