I have read the BarknFly Members Manual:

Yes  No

Name of Parent(s):

Name of Dog(s):

Home Phone:

Work Phone:

Mobile phone:

Email Address: (required)

Street Address:

City:

Postal Code:

Veterinarian's name:

Veterinarian's phone:

Whom to contact in an emergency:

Emergency Contact Phone Number :

Where did you hear about our Doggy Daycare:

If referred by a customer, what is their name?

Who is authorized to pick your dog up?

Dog Information

Breed:

Sex:

Male  Female

Spayed or Neutered:

yes   No

*If not spayed or neutered over 6 months, we will not accept in daycare

Birthday:

day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 month January February March April May June July August September October November December year 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980

Age:

Known Commands:

Do you need us to feed your dog?

yes   no

If yes, what is the feeding schedule and how much:
(Food is provided by you)

Please indicate any allergies/medical conditions:

Favourite playtime activities:

Can we give your dog treats? (provided by Nutro)

yes   no

Do you need us to administer medicine, if so please explain :

Has your dog ever shown aggression toward humans or dog(s) in certain situations?

yes   no

Does your dog get along with all dogs?

yes   no

If not, please explain: (i.e. smaller dogs)

Other information:

After submitting your application, please contact us
at 905 257 2922 to set up a trial day for your dog.