Dog Tired Wait List Request
(IF YOU HAVE MORE THAN ONE DOG, PLEASE COMPLETE A SEPARATE REQUEST FOR EACH DOG)
Owner's Name
Dog's Name
Breed
Sex
Male Female
Spayed/Neutered
Yes No (dogs must be spayed or neutered by 12 months to attend daycare)
Weight
pounds
Age
years months
Has your dog ever been around other dogs?
Yes No
Energy Level
On a scale from 1 to 10 how would you rate your dogs energy level? 1=low and 10=high
Attended daycare before?
Desired Schedule
Full Days Half Days
Frequency of Visits
once a week twice a week three times per week once in a while
Anything else we need to know about your dog
Address
E-mail
Phone
Dog Tired LLC ● 310 E. Fireweed Lane ● Anchorage, Alaska 99503
(907) 334-6962 phone ● (907) 334-6963 fax
