How to Enroll Your Dog at the Day Care Depot!

Want your dog to join the fun at AnnaBelle's Day Care Depot? Just complete our questionnaire, so that we can get to know your dog, and we'll contact you right away to set up a play assessment and talk about a day care plan that meets your specific needs. Play assessments can be scheduled on Mondays by appointment only.

Pet parent(s) first and last name(s):
*

Street address (including city and zip code):

Daytime telephone number (including area code):

Daytime telephone number is for:
Home
Cellular
Work
Other

Evening telephone number (including area code):

Evening telephone number is for:
Home
Cellular
Work
Other

Preferred email address for communications from AnnaBelle's:

Dog's name:

Dog's breed(s):

Dog's age:

Dog's gender:
Male
Female

Is your dog spayed or neutered:
Yes
No

Dog's birth date:

Does your dog have any previous experience in daycare:
No
Yes

If yes, please describe briefly:

Does your dog have Food Allergies (please specify):

Does your dog have Outdoor Allergies (please specify) :

Is your dog Hearing Impaired:
No
Yes

Is your dog Seeing Impaired:
No
Yes

Does your dog have a physical impairment (please describe):

Does your dog have any other special needs (please describe):

Name of your veterinary clinic:

Telephone number of your veterinary clinic:

Full name of alternate emergency contact (other than you):

Telephone number for alternate emergency contact:

Please describe any formal training that you have done with your dog, including the name of the trainer or training method and whether you feel that the training was successful for you and your dog:

Does your dog have any behavior issues that are of concern to you?
Excessive barking

Jumping on people

Fear of people

Fear of other dogs/animals

Counter-surfing

Other (please describe):

Is your dog crate-trained?:
No
Yes

How does your dog handle stress?
Barking

Growling

Mouthing people (i.e. hands, arms, legs)

Drooling

Hiding

Lunging at people

Digging

Pacing

Running away

Redirecting stress or frustration onto other dogs or people

Other (please describe):

How does your dog get along with other animals (please describe):

Does your dog have any known history of aggression:
No
Yes

If yes, please describe briefly:

Does your dog display any guarding behavior either of people (you, children, etc.), places (furniture, rooms, etc.), or resources (toys, bedding, food, etc):
No
Yes

If yes, please describe briefly:

Does your dog currently have any regular opportunities to play with other dogs:
No
Yes

If yes, please describe briefly:

May we exercise your dog, with supervision, on our agility equipment (i.e., A-Frame, teeter-totter, weave poles). (Note: If you have definite plans to compete with your dog at agility shows, you may not want to allow your dog to play on our agility equipment during daycare):
Yes, you may exercise my dog on agility equipment with supervision
No, you may not exercise my dog on agility equipment
Lets talk before you exercise my dog on agility equipment

Do you have specific goals for your dog that you want AnnaBelle's Daycare Depot Staff to work on during your dog's daycare experience:

How did you find out about AnnaBelle's Pet Station?:

I understand that bringing my dog into contact with other dogs and people poses certain risks, including the risk of contracting a disease (such as kennel cough or bordetella) or injury. On behalf of myself, any member of my household, and/or my dog, I assume all risks associated with participating in activities at AnnaBelle's Pet Station.

I understand that dogs may receive minor cuts and scratches at daycare and any problems that develop with my dog(s) will be treated as deemed best by AnnaBelle's staff, at their discretion. I assume full financial responsibility for any and all expenses involved.

I understand that AnnaBelle's Pet Station has relied on my description of my dog's health condition and temperament in making its decision to admit my dog to daycare activities. I will take complete responsibility for my dog's actions. I agree that AnnaBelle's Pet Station, its employees, officers and agents are not responsible for any damages that might arise from participating in activities at AnnaBelle's Pet Station, including, but not limited to, damages arising from personal injury, veterinary bills, loss of personal property, emotional distress, or any other damages that I, my dog, or member of my household my suffer.

If you agree with the above statement, please type or sign your name in the space provided below:

AnnaBelle's staff often take photographs and videos of our day care dogs while they are in our care. Do we have your permission to take photographs/video and use these images for all purposes, including in our promotional materials, on our facebook page, and on our website:
Yes
No

It is Annabelle's Pet Station policy to give each dog a play-test, which they must pass, before they are allowed to participate in playgroups:
I agree to the terms of this policy.
I do not agree with the terms of this policy.

All day care dogs must have current vaccinations for rabies and DHLPP. Please confirm that your dog's rabies and DHLPP vaccinations are up-to-date:
Yes
No

Bordetella (kennel cough) vaccination is also required, unless you present a written/signed waiver from your veterinarian. Please confirm that your dog's Bordetella vaccination is up-to-date. (Please note: Bordetella vaccinations do not prevent all kennel cough infections. For more information about Bordetella, its transmission, along with signs and symptoms, treatments, and other useful information, please visit The Pet Health Library. We also encourage you to discuss Bordetella/kennel cough with your veterinarian.):
Yes, Bordetella vaccinations are up-to-date
No, Bordetella vaccinations are NOT up-to-date

I will provide current vaccination records (and/or a Bordetella vaccination waiver from my veterinarian) within the first three day care visits. Please note: you or your veterinarian may fax records to us at 517.853.5888:
I agree
I disagree

FLEA POLICY AND PROCEDURES:
All day care and grooming dogs are inspected on arrival at AnnaBelle's and departure. If we note anything unusual, including the presence of fleas or flea eggs, scratches or other abrasions, we will advise you. If a dog has fleas, the dog must receive treatment and cannot be allowed in day care or return for grooming for one week from the last time fleas or eggs were found in the dog's coat.

AnnaBelle's does not require, but highly recommends, that your pet be on a flea preventative medication. We recommend that you read the following article regarding the types of flea preventatives available and how they work. There are many myths and misunderstandings regarding fleas and how pets get exposed to fleas. You should also be aware that fleas present a SERIOUS risk of harm to the health of your pet. We recommend reading the following article regarding flea myths and risks.

Be aware that some flea preventatives do not kill adult fleas and that your dog can be exposed to fleas virtually anywhere. We strongly urge you to discuss the risks presented by fleas with your veterinarian and the various options available to prevent fleas.

Please certify EITHER that your pet is on a monthly flea preventative medication OR that you have discussed this issue with your veterinarian and have opted to forego placing your pet on a monthly flea preventative:
My pet is on a monthly flea preventative medication (flea collars or flea baths are not considered acceptable monthly flea preventative medications)
I have discussed flea preventative medication with my veterinarian and have opted to forego placing my pet on flea preventative. I understand that by allowing my pet to come into contact with other animals at AnnaBelle's, I risk possible exposure of my pet to fleas. I understand that AnnaBelle's is not responsible for any veterinary or other costs associated with any flea infestation of my pet.

Does your dog have any known history of abuse or neglect? If so, please describe in detail. (PLEASE NOTE: we ask this question so that we can establish the best and safest care plan for your dog to succeed in our day care and we do not use this information to reject an applicant):

Does your dog have any significant medical history or medical conditions that our staff should be aware of? If so, please describe in detail. This includes, but is not limited to, seizures, respiratory problems, cancer, food allergies, environmental sensitivities (grass allergies, etc.), chemical sensitivities or allergies (including cleaners), bone or spinal conditions or injuries, chronic illness of any kind, and heart conditions. (PLEASE NOTE: we ask this question so that we can establish the best and safest care plan for your dog to succeed in our day care and we do not use this information to reject an applicant):