Gemini Dogs - Daycare Application (New Dogs Only)

This application is for new doggie daycare dogs only. If you are an existing daycare dog, use the express sign-up form.

* All new dogs are required to visit us for an interview prior to their first day in daycare.

Full Name
Must be over 12 years old: *

Street address1:

Street address2:

City:

State:

Zip Code:

Home phone: *

Work phone:

Cell phone:

Email address: *

Spouse/partner name

Emergency Contact Name:

Daytime Phone:

Evening Phone:

How did you hear about
Gemini Dogs?

Other:

Your Dog's Info

Name: *

We create crate cards that contain a photo of your dog.

Please take a moment to email a photo of your dog now. Include your dog's first and last name in the subject line.

Breed: *

Sex:

Male
Female

Is your dog spayed or neutered?

Yes
No

Note: You must spay/neuter your dog by the age of 6 months to continue in daycare.

Age:

Birth date:

Weight:

Is your dog friendly toward other dogs? *

Is your dog friendly toward other people? *

Why are you enrolling in doggie daycare?

Have you (or are you) enrolled in classes with this dog at Gemini Dogs? *

More About Your Dog's

Where did you obtain your dog?
Be as specific as possible.

How old was your dog when you got him?

Is this your first dog?

Yes
No

What brand of food do you feed your dog?

How much do you feed your dog each meal?

When do you feed your dog?

Breakfast
Lunch
Dinner
Leave out all day

Are you using a crate at home?

Yes
No

Is your dog housetrained?

Yes
No

What does your dog do when you: Take toys away from him

Approach him when he is eating:

Touch his neck or collar:

Touch him when he is sleeping:

Your Dog's Medical History

Name of your animal hospital or vet office (not your vet's name)

Note: You do not have to provide us with copies of your dog's vaccination records. We will contact your vet directly.

Tattoo Number:

Microchip Number:

Describe any physical problems, illness, skin problem, or other condition that your dog has.

Note: Include any issues with blindness, deafness, epilepsy, arthritis, and hip/joint problems.

What medication is your dog currently taking? *

What are your dog's dietary restrictions and/or allergies? *

Is your dog afraid of anything (for example thunder, loud noises, fireworks)? *

Is there anything else that you feel we should know about your dog?

Choose Your First Day!

Day: *

Month: *

Date: *

Would you like to pay by credit card?

Yes
No

Promo code:

Sign Us Up!

We will contact you to confirm that the date you entered above is available and that your dog has been accepted in our daycare program.

Note: All new dogs are required to visit us for an interview prior to their first day in daycare.

I have read and agree to the terms of the Waiver, Assumption of Risk, and Agreement to Indemnify and Hold Harmless.

Type your name in the box to indicate your acceptance of the waiver. *

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Doggie Daycare Application (New Dogs Only)

Your Dog's Info

More About Your Dog's

Your Dog's Medical History

Choose Your First Day!

Sign Us Up!