DOGGY DAYCARE DEPLOYMENTS BOARDING/BOARD & TRAIN APPLICATION FORM
Is your dog/s right for Doggy Daycare Deployment?
Take this quick test below
Step
1
of
6
16%
Has/does your dog/s show any signs of reactivity towards other dogs?
*
Yes
No
Has/does your dog/s show any signs of reactivity towards humans?
*
Yes
No
Has/does your dog/s ever shown any aggression towards other dogs?
*
Yes
No
Has/does your dog/s ever shown any aggression towards humans?
*
Yes
No
Has/does your dog/s ever tried to bite or has bitten any dogs or humans?
*
Yes
No
Has/does your dog/s growl, bite or snap at humans when approaching their food or toys?
*
Yes
No
Has/does your dog/s growl, bite or snap at other dogs when approaching their food or toys?
*
Yes
No
Does your dog/s show signs of dominance towards other dogs?
*
Yes
No
Does your dog/s play rough and make other dogs feel uncomfortable?
*
Yes
No
Does your dog/s bark excessively?
*
Yes
No
Does your dog/s have any serious injuries or medical conditions?
*
Yes
No
If you answered YES to any of these questions your dog is probably not right for our daycare and we advise to book in with one of our elite dog trainers. If you answered YES to any of these questions but it was an isolated incident and you believe your dog is suitable, please explain here
OWNERS DETAIL
Owner's Full Name
*
Address
*
Suburb
*
State
*
Postcode
*
Mobile
*
Work Phone
Email
*
2nd Owner's Full Name
2nd Owner's Mobile
2nd Owner's Email
Emergency Contact
*
Phone
*
Nominated person/s to pickup/Drop off my dog/s
Name
Phone
Name
Phone
DOG/S DETAILS
Dog's Name
*
Breed/Mix
*
Date of Birth
*
Day
Month
Year
Sex
*
Male
Female
Desexed
*
Yes
No
Up to date vaccinations against Distemper Virus C3, Bortabella C5 & Kennel Cough - Nobivac KC?
*
Yes
No
Vaccination Date
*
Day
Month
Year
Please email vax papers to
info@masterofpuppies.com.au
Upload photo of vax papers here or email to info@masterofpuppies.com.au
Drop files here or
Select files
Accepted file types: docx, jpg, gif, png, pdf, doc, xls, xlsx, ppt, pptx, txt, Max. file size: 80 MB.
Dog’s Vet Name
*
Vet Phone Number
*
2nd Dog’s Name (if applicable)
Breed/Mix
Date of Birth
Day
Month
Year
Sex
Male
Female
Desexed
Yes
No
Up to date vaccinations against Distemper Virus C3, Bortabella C5 & Kennel Cough - Nobivac KC?
Yes
No
Vaccination Date
Day
Month
Year
Please email vax papers to
info@masterofpuppies.com.au
Upload photo of vax papers here or email to info@masterofpuppies.com.au
Drop files here or
Select files
Accepted file types: docx, jpg, gif, png, pdf, doc, xls, xlsx, ppt, pptx, txt, Max. file size: 80 MB.
Dog’s Vet Name
Vet Phone Number
Currently does your dog/s display ANY of the following?
Anxious?
*
Yes
No
Bark for attention?
*
Yes
No
Chew or destroy?
*
Yes
No
Dig to Escape?
*
Yes
No
Dominance?
*
Yes
No
Escape Artist?
*
Yes
No
Howl or Cry?
*
Yes
No
Jump over fences?
*
Yes
No
Jump up?
*
Yes
No
Separation anxiety?
*
Yes
No
Mouthiness?
*
Yes
No
House trained?
*
Yes
No
Leash pulling?
*
Yes
No
Coprophagia (stool eating)?
*
Yes
No
Toileting concerns?
*
Yes
No
If you answered YES to any of these questions, please describe circumstances
Has your dog/s ever displayed ANY of the following
Been attacked by another dog?
*
Yes
No
Growled, bitten or snapped at someone for approaching their food or toys?
*
Yes
No
Growled, bitten or snapped at another dog for approaching their food?
*
Yes
No
Overheats quickly with minimal exercise?
*
Yes
No
Has trouble jumping on and off obstacles?
*
Yes
No
If YES, please describe circumstances
Are you able to remove toys/food from your dog's mouth?
*
Yes
No
Can your dog/s share toys with other dogs with no issues?
*
Yes
No
Can your dog/s swim?
*
Yes
No
If NO, please describe circumstances
Has your dog/s attended dog daycare before?
*
Yes
No
If YES, where?
Has your dog/s had any formal training / puppy pre-school obedience/good manners training?
*
Yes
No
If YES, please detail where and when
Basic Obedience (tick all that apply)
Sit
Stay
Heel
Drop Stay
Recall (come)
RATES
Daycare + Doggy Bus Service
1st day Assessment - $150
$100/per visit for casual visits
BUY 8, GET 2 FREE - $80/VISIT*
*Weekly visitors only
Daycare, Local Drop off
1st day Assessment - $150
$80/per visit for casual visits
BUY 8, GET 2 FREE - $64/VISIT*
*Weekly visitors only
Boarding
$120/night
2nd dog $60/night
I acknowledge my dog is subject to a compulsory practical assessment and will only be allowed to revisit or board if they meet MOPs assessment criteria
*
I acknowledge my dog is subject to a compulsory practical assessment on their 1st day and will only be allowed to revisit if they meet MOPs assessment criteria
DAYCARE BOOKINGS
What day/s would you like your dog/s to attend (please tick)
Tuesday
Wednesday
Thursday
How Often (please tick)
weekly
fortnightly
Preferred Start date?
DD slash MM slash YYYY
GOLD COAST PICKUP/DROP OFF SERVICE
Where would you like us to PICKUP your dog/s?
0650 @ Rotary Park Burleigh (off Third Ave)
0720 @ Qld Korean War Memorial (Surfers Paradise)
0750 @ Rotary Broadwater Chapel, Southport
0815 @ Fantastic Furniture Helensvale Super Store
Where would you like us to DROP OFF your dog/s? (Please tick)
1650 @ Fantastic Furniture Super Centre, Helensvale
1730 @ Rotary Broadwater Chapel, Southport
1810 @ Queensland Korean War Memorial, Surfers Paradise
1820 @ Rotary Park Car Park, Burleigh Heads (off Third Ave)
Or Local drop off/pickup at MOP HQ between 7:30am - 5:30pm
Drop off @ MOP HQ
:
Hours
Minutes
AM
PM
AM/PM
Pickup @ MOP HQ
:
Hours
Minutes
AM
PM
AM/PM
BOARDING/BOARD & TRAIN BOOKING
Start Date
Day
Month
Year
End Date
Day
Month
Year
Is there any other information about your dog/s that you feel would be helpful or important for us to know?
How did you hear about Master Of Puppies?
*
I certify that I have answered the above questions truthfully, fully and to the best of my ability
*
Yes
No
Terms and Conditions
*
I have read, understand and agree to the
terms and conditions
Date
*
Day
Month
Year
Your Full Name
*
Signature
*
Get a copy of your selection form?
*
Yes, get a copy.
No, Thank you.
