Owner Information

How did you hear about us?: (check all that apply) *
What services are you interested in? *
Why are you considering our off-leash dog play program for your dog? (check all that apply) *

Pet Profile

Health History: (check any that have occurred in the last year)
Does your dog have any sensitive areas on his/her body? *
Is your dog comfortable being crated? *
How would you describe the energy level of your dog? *
Check the box below that best represents your dog's overall level of exercise routine: *
Which of the following best describes your dog's level of socialization with other dogs: *
What type of dogs does your dog play with? *
Are there any types and/or breeds of dogs your dog seems to automatically fear or dislike? *
Has your dog had any problems previously in an off-leash social environment? *
If Yes, check all that apply
Only complete if your dog was dismissed from another program. What reason were you given as to why your dog was dismissed?
Only complete if your dog was dismissed from a prior program due to an incident. (check all that apply)
Please check any behaviors below that your dog exhibits:
Has your dog ever growled at someone? *
Has your dog every bitten someone? *
Has your dog ever bitten another animal? *
Does your dog have any problems in any of the following areas?
Which commands does your dog know? (please check all that apply)
Which of the following best describes the use of obedience cues with your dog at home? *
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