Daycare, Boarding and Training Application

Please fill out the form below as accurately as possible. If you are signing up more than one dog, you will need to fill out this form for each dog. If you have any questions regarding this form, please contact us and we'll be glad to help you.

Please Note - Firefly Kennel does not accept credit cards. Checks or cash only.

Requirements

In addition to filling out this application, please be sure to meet the following requirements before scheduling your dog's stay:

Please have your vet e-mail fireflykennel@gmail.com your dog's vaccination summary to include: Rabies, Distemper, and Bordetella. Canine influenza is highly recommended and required for out of state dogs.
Please have your vet e-mail fireflykennel@gmail.com proof that your dog is treated year round with Flea/Tick prevention and Heartworm prevention with a dewormer.
Once we receive all required vet information, we will contact you to set up a meet and greet to see if our facility is a good fit. Please bring dogs in on a flat collar and regular leash or a slip lead. No harnesses or retractable leashes please. Meet and greets take approximately 30 minutes. We observe how the dog(s) interact with their owners, to me and my staff, and to dogs around them. Dogs must walk nicely on a slip lead in and out of the kennel without excessive pulling or negative reaction to other dogs and settle nicely inside. All dogs must be house trained (with the exception of young puppies).
New boarding dogs must come for a day and a night before a longer stay. New daycare dogs will have a trial period.
Print and sign a hard copy of the Owner Agreement and Facility Use Agreement waivers.

Applicant Information

First Name:

Last Name:

Address:

City:

State:

Zip:

Phone:

Mobile Phone:

Business Phone:

Email:

Emergency Contact:

Emergency Phone:

Which service do you need?

Firefly Kennel, LLC may release your dog to the following person(s):

Veterinarian's Name/Clinic:

Phone:

Where did you hear about Firefly Kennel?

Dog Information

Name of Dog:

Breed:

Male or Female?

Spayed or Neutered?

Weight:

Color:

Birthdate:

Where did you get your dog?

How long have you had your dog?

Other Information

Has your dog ever been to another day care or boarding facility?

How long has it been since he/she has been boarded or gone to daycare?

If yes, name of facility and phone number.

May we contact the facility for a reference?

Has your dog been ill or injured in the last 30 days?

If yes, please explain:

Are there any restrictions that need to be placed on your dog's physical activities?

If your dog is on any medications, please list them below:

Is your dog crate trained?

Is your dog house trained?

Does your dog come when called?

If your dog has any dietary restrictions, please list them below:

Do you have any objections to us giving your dog treats?

What triggers your dog to bark?

There are times when dogs will bark to the point of stressing themselves out. Would it be ok, only in such cases, to use a citronella bark collar on your dog for a very short time to settle them down?

Does your dog guard objects or food from people or other dogs?

Has your dog every shown any aggression to people or other dogs? If yes, please explain below:

Is your dog afraid of thunderstorms, gunshots, or any other noises?

Has your dog ever jumped, climbed, or dug out of a fenced in area?

Does your dog have any behavioral problems that Firefly Kennel, LLC should be aware of (for example, barking, jumping, digging, eating rocks, chewing, dislike of specific breeds of dogs, men, women, children, or strangers)?

Special notes, feeding instructions:

Disclaimer & Verification

By entering my initials below, I certify that my answers are true and complete to the best of my knowledge.

Initials:

Date:

If you're not a robot, what is 600 + 38?

Daycare, Boarding and Training Application

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