Fur-Kid details Name (required) Date of Birth Day 1 2 3 4 5 6 7 8 9 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 2028 2027 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 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 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900 Breed Weight Spayed? Yes No Microchip Vaccination Date Day 1 2 3 4 5 6 7 8 9 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 2028 2027 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 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 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900 Upload copy of vaccination certificate Browse... Alternative you can email the certificate to: kaz@thedognanny.net.au Flea Treatment Worm Treatment Any other medication? House Trained? (required) Please Select Yes No A few more details... Guardian(s) (required) Contact numbers (all) (required) List in order - (first on the list is the first to be called) Email address (required) Extended Family and Fur Friends Include Name, Variety/Breed/Race and Age How did you hear about us? (required) Please Select Word of Mouth Newspaper Ad Flyer/Brochure Other Almost there! Vet Name, Practise, Contact Details Describe Temperament Any aggression issues – humans or other animals (dogs, cats, birds etc)? Describe attitude to other dogs Incl. what they do when they meet/see ones they don’t know. Dominance? Diet Incl timing, frequency, rules, what is and is not allowed, treats, etc) Aggression? Allergies/Medical Issues? Spare no detail here! Any idiosyncrasies or special needs? Any fears? If so, describe how they react. Known Commands Specific rules? Eg. Sit at curb before crossing road. Likes & Dislikes Habits (Good & Bad) Tricks Eg. can open doors, hurdle fences, etc. Walks/Stimulation What’s typical - frequency, length, equipment, off lead? Are car rides allowed? How do they behave during car rides? Describe a typical day for your Fur-Kid Anything the guardian(s) wish to be addressed Anything else the Nanny should know? Privacy agreement (required) Please Select I agree I do not agree I grant permission for the Dog Nanny to publish photos of your pet(s) in Dog Nanny updates and/or on our website. Your Full Name (required) Terms and Conditions (required) I Agree By checking this box and submitting this form, you are agreeing that all information you have provided is current and correct. This field should be left blank Send Please wait... admin-dognannySubmit Pet profile10.13.2014
