Enrol With Us

If you would like your furry friend to join our Canine’s Unleashed family please fill out the form below.

Please fill out this form as truthfully as possible. This helps us understand how you and your dog work and their needs.
Please fill out and send back or print out and bring in on their trial appointment. Trial appointments are approximately 40 minutes long and give us a chance to assess your dogs suitability to our day care. We do ask that you, as owners, do not stay for these trials to give us the opportunity to assess your dog properly.

Please be reminded all dogs must be vaccinated and desexed after the age of 6 months. We will need to see evidence of both of these.

Owners information

Name:

Phone Number:

Address:

Email:

Emergency Contact

Name:

Phone Number:

Relationship:

Vet Name:

Vet Phone Number:

Dogs information

Dogs Name:

DOB:

Date of adoption:

Breed:

Sex:

De-sexed:

Date Of Vaccination:

Where did you get your dog from?

How long have you had your dog?

Is your dog up to date with flea and worming?

What do you use?

Does your dog have any health issues:

If yes, what are they?

Is your dog on any medication?

What is it?

If yes, will we need to administer it? (we are not responsible for any injected medications):

Will your dog need any meals when with us?

Does your dog have any food allergies?

Can your dog have treats? (we use Meals for Mutts grain free sardine and salmon)

Does your dog have issues with: BittingDiggingFood possessionFence JumpingBarkingSeparation anxietyToy possessionPoo eatingMouthingOver excitementPeople possessionHowling/cryingScratchingHumpingJumping on peopleFireworksThunderRainDog aggressionPeople aggression

Has your dog been referred to us by a professional?

If yes, Who?

Has your dog been socialised?

If yes, how often and where?

In a normal week, how often do you walk your dog and for how long for? And what does it mostly consist of? (on lead foot path, off lead foot path, dog park, park, beach etc.)

What's your dogs favourite game/toy?

Are there any toys/games your dog can't have?

Does your dog like or do you want your dog to have pats and cuddles?

If it is a hot day, can your dog go in a supervised doggy paddle pool:

Would you like us to celebrate your dogs birthday/adoption date?

Can your dog have birthday cake if it is another dogs birthday?

Is there anything you would like us to do for your dog while they are with us?

Is there anything else we need to know about your dog?

Can we put photo's of your dog up on our social media?

Where did you hear about us?

Day Care

Days

How many days a week?

Days:
preference one:
Preference two: