Enrol Now - The Dog Den

New Customer Enrolment Form

1. Owner Info
2. Pet's Info
3. Pet's Health
4. Pet's Behaviour

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Which branch would you like to enrol for?

Choose
23 Barrys Point Road, Takapuna (TDDtaka)
52 Small Road, Silverdale (TDDsilver)
97 Saleyards Road, Puhoi (TDDPuhoi)

Owner Information

Title

Mr.
Mrs.
Ms.
Miss
Prof.
Dr.

Full Name

Street No. & Name

Suburb

Home Phone (optional)

Mobile

Name(s) of others who are approved to collect your pet from us (optional)

How did you hear about us?

Word of mouth

Google

Website

Flyer

Other

Facebook

Instagram

Channel Magazine

Puppy Preschool

Dog Day Out

Which of our services are you interested in?

Daycare

Grooming

Farm Adventures

Boarding

Pet's Info

Name

Breed

Sex

Male

Female

Colour

Desexed?

Yes

Date of Birth (Approximate)

Month
January
February
March
April
May
June
July
August
September
October
November
December

Year
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039

Has your dog attended day care before?

Yes

I understand that if my dog attends kennels or another dog daycare centre, I must standdown my dog from The Dog Den for a period of 7 days to prevent the possible spread of infections such as canine cough

Yes

If yes, what was your reason for leaving? (optional)

Can you please tell us why you are putting your dog into day care?

Looking for more exercise

Your active dog loves to play all day

Socialisation with other dogs

Human company during the day

Has your dog ever been expelled from a day care before?

Yes

If yes, please provide details (optional)

How often do you require day care? (eg 1, 2, 3, 4 or 5 days a week, 1 or 2 days a month....)

Alternative Contact for Emergencies

Contact Full Name

Contact Number

Veterinarian Information

Practice Name

Practice Phone (optional)

Address

Dog Health & Medical Info

Please note all vaccinations must be current to enter our facility.

Please also email a photo/scan of your vaccination details to us at bookings@thedogden.co.nz or you can bring your Pet Passport with you on your first day.

5 in 1 (DHPPV, Distemper, Parvo etc) Received on .

Kennel Cough Received on

Lepto Virus Received on

Flea Treatment Received on .

Worming Treatment Received on

Does your dog have any medical conditions? (optional)

Does your dog have any injuries or joint problems e.g. arthritis, dysplasia? (optional)

Does your dog have any allergies / sensitivities? (optional)

Does your dog have any recent illnesses? (optional)

Does your dog have any ear problems? (optional)

Pet's Behaviour

Has your dog ever been classified as dangerous or menacing as defined by Auckland Council?

Yes

Does your dog display any of the following behaviours? (optional)

Excessive barking

Shyness or Apprehension

Separation anxiety

Mounting dogs/people

Jumping fences

Mouthing/biting

Jumping up on people

Resource guarding

How does your dog react around puppies or high energy dogs? (optional)

How does your dog react when approached by other dogs on lead? (optional)

Does your dog display fear or anxiety from the following? (optional)

Sudden noises

Cars, skateboards, wheels & moving objects

Certain people

Certain situations

Thunder, rain or wind

Does your dog willingly share toys & balls with other dogs? (please tick) (optional)

Toys

Balls

Does your dog dislike being petted in places? (tail, feet, ears) (optional)

What games does your dog enjoy? (chase, ball etc) (optional)

Can your dog have treats while in our care?

Yes

Training

If your dog has attended formal training, please advise what level and style (optional)

Is your dog (optional)

House trained

Crate trained

Recall trained

Lead trained

What cues does your dog know? (optional)

Sit

Stay

Heal

Come

Off

Wait

Down

Leave

Legal

Yes I accept The Dog Den Terms and Conditions

Acceptance of the Terms and Conditions on The Dog Den Website (defaulted to yes - by clicking on Enrol now you are agreeing to accept T&Cs)

You can read the full Terms and conditions here.