Daycare Camper AssessmentFor Daycare Only - Step 1 of 4PET PARENT INFORMATIONParent's Name *FirstLastVet NameVet Clinic's PhonePet NameToday's DateNextPET MEDICAL HISTORYDoes your Camper have any of the following:Heart ConditionYesNoThyroid DiseaseYesNoAllergiesYesNoSeizuresYesNoIf yes, please describe frequency, severity, cause of occurrence, behaviors to look for, etc. below.Physical LimitationsYesNoArthritis, Missing Limb, Blind, Deaf, etc.BloatYesNoCancerYesNoIf you answered yes to any questions above, please describe:Other Medical History we need to know about not included above:Do you use a regular flea/tick preventative on your Camper?YesNoPreviousNextPET HISTORYHas your Camper ever bitten a person, pet or animal?YesNoHas your Camper ever been bitten or attacked by another animal?YesNoAre there any specific behaviors or requirements we need to be aware of? (i.e. eats from a raised feeder, must use harness, etc.)YesNoHas your Camper ever boarded before?YesNoHas your Camper ever played with dogs at a Dog Park or Doggie Day Camp?YesNoDoes your pet protect his/her food or toys? (Dogs Only)YesNoIf you answered yes to any of the above Pet History, please describe:PreviousNextPet ExperiencesWhat is your Camper's behavior when MEETING ANOTHER PET?CalmHappyShyFearfulAggressiveWhat is your Camper's behavior when MEETING A STRANGER (IN HOME/IN PUBLIC)?CalmHappyShyFearfulAggressiveHow does your Camper behave when interacting or playing WITH OTHER PETS?CalmHappyShyFearfulAggressiveHow does your Camper behave interacting or playing WITH PEOPLE?CalmHappyShyFearfulAggressiveAdditional Information regarding your Pet's behavior:You are ready to submit your Daycare Camper Assessment!Please press submit below. We will receive your entries in email form. If we have any questions, we will be in touch. THANK YOU!Review previous pagesEmailSubmit
