Become a Hilltop Dog Join the pack Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.About You LayoutName *AddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodePhoneAlternative PhoneEmail *About your Dog LayoutDog Name *Gender *Castrated /Spayed?YesNoIs your dog up to date with all core vaccinations, inclusive of kennel cough?YesNoAgeBreedColourHow Long have you owned your dog?What are the main reasons you would like your dog to attend day care?Please give details of the day(s) of the week that you would like dog care services from Hilltop Due to capacity we may not be able to offer you all day(s) that are your first choice, but we will do our best!Monday HALF DAYMonday FULL DAYTuesday HALF DAYTuesday FULL DAYWednesday HALF DAYWednesday FULL DAYThursday HALF DAYThursday FULL DAYFriday HALF DAYFriday FULL DAYFor prices and plan options, check out our packages For any of the services above, does your dog need to be picked up and dropped off via the Hilltop doggy bus? * Please note, for half days, the doggy bus pick-ups & drop-offs to Lilliesleaf, Denholm, Minto & Hawick only.Yes Pick up and Drop OffYes Pick up onlyYes Drop off onlyNo we will Drop Off and CollectPlease give details of any past or current health issues:LayoutIs your dog on any medication? YesNoHas your dog been ill been the last 30 days? YesNoHas your dog ever had a seizure?YesNoDoes your dog have any allergies? YesNoDoes your dog have any joint problems? YesNoDoes your dog have any sensitive areas on their body?YesNoIs your dog allowed treats? YesNoDoes your dog have any dietary restrictions? YesNomedication details illness detailsseizure detailsallergy detailsjoint problem detailssensitivity detailsAny details on specific treats to avoiddetails of any dietary restrictionsIs there any reason why exercise or certain activities, such as jumping, should be restricted whilst at dog care? YesNoPlease give details of any activities that should be restrictedSocialisation Has your dog received any formal training? YesNoPlease give details of the training your dog has undertakenHas your dog ever reacted negatively towards:MenWomenChildrenMale DogsFemale DogsPuppiesCatsStrangersNoneOther, please give detailsPlease give details of any negative behaviourIf there are any dog breeds or dog traits your dog dislikes? If so, please give details.LayoutDoes your dog run free in your home when you are not there?YesNoDoes your dog have a favourite toy?YesNoDoes your dog allow you to remove objects from their mouth?YesNoDoes your dog play with other dogs?YesNoIs your dog possessive of toys, food or other objects?YesNoDoes your dog ever play with other dogs off the lead?YesNoDoes your dog prefer the company of dogs that are: (select all that apply)MaleFemaleLargeSmallPlayfullCalmBehaviour LayoutHas your dog ever growled or snarled at someone? Yes - please give detailsNoHas your dog ever bitten another dog or person?Yes - please give detailsNoHas your dog ever climbed or jumped over a fence? Yes - please give detailsNoDetails of any snarling or growling at peopleDetails of any time your dog has bitten another dog or personDetails of how high the fence was and the circumstancesHas your dog ever boarded in kennels or attended dog day care before and how did he or she react?Add an image of your dog and a copy of vaccination status Click or drag files to this area to upload. You can upload up to 2 files. Submit21130
