Boarding School Inquiry Form "*" indicates required fields We love dogs and want your dog to love coming to our off-leash playgroup. No one knows your dog better than you, so we’d appreciate you taking the time to fill out this application. The more we know about the dogs in our care, the better our playgroups will be. Rock On. Please submit one application for each dog who you would like to have in off-leash play. Owner’s Information Owner’s Name* First Last Owner Name 2 First Last Address* Street Address City State ZIP Email* Phone*Dog’s InformationDog’s Name*Breed*If a mix, list two predominant breeds in behavior.Weight*Date of Birth* Month Day Year How long have you owned your dog?*Is your dog spayed/neutered?*BnR’s general policy is that all dogs attending our group social programs must be spayed or neutered before or at 7 months of age. Yes No If your dog is not spayed/neutered please give details on any spay/neuter plan and timeframe.Where did you get your dog?*Choose oneAnimal rescue groupAnimal shelterBreederFound as strayFriendNewspaper adPet storeOtherPlease specify where you got your dog.*What knowledge do you have of your dog’s past history?*Health HistoryDoes your dog have any allergies?* Yes No Please explain allergies.*Does your dog have any physical disabilities?* Yes No Please explain disability and cause.*What restrictions need to be placed on your dog’s activities or movements?* No jumping No running No hard play No contact with other dogs Other Please explain restrictions.*Does your dog have any medical conditions?* Yes No Please explain medical condition(s).*Is your dog taking any medication(s) to control the condtion?* Yes No Please provide medication name and dosage.*Does your dog have any bathroom-related issues or concerns?* Yes No Please explain issues and/or concerns.*Behavior and InteractionsWhat does your dog's current daily walk/feeding/engaged play routine look like?* Has your dog ever experienced a group social environment with other dogs? Please give details on experience.Has your pup ever completed a private or group class training? If so, please give a brief description of the methods used and what seems to work and what doesn’t work for you and them:*Are all humans in your home committed to using positive reinforcement training methods that do not include the use of force or fear-based tactics (ie. Prong, shock, choke collars, air horns, etc.) in efforts to change behaviors or gain behavioral compliance?*How do you currently address undesirable (but likely normal) dog behaviors like excessive mouthing, barking, potty accidents indoors, and/or leash pulling etc.? What seems to work or not work well for you and your dog?*Does your dog bark or lunge on leash when walking past another dog? If so, how far in proximity is the dog?*Does your dog bark or lunge on leash when walking past another person? If so, how far in proximity is the person?*What are the behaviors you would like to have worked on during your pups board & train?*When did these behaviors start?*Is there anything else to note about your pup that you would like us to be aware of that will help to tell us if board & train is the right option for you and your pup?*Which commands does your dog know?*Please check all that apply. Sit Stay Down Come Heel Rollover Kisses High Five Other Please specify other commands.*How did your dog get his/her obedience training?*Please check all that apply. Attended one group class Attended more than one level of group classes Dog was sent to a board and train program Private sessions in home Other Please explain.*Which of the following best describes the use of obedience cues with your dog at home?* Key part of daily communication Used when we go on walks or have people over Used occasionally to better control behavior Rarely used Not applicable What kind of a collar(s) do you use to walk your dog?*Please check all that apply Buckle Nylon / Chain choke collar Harness — leash clips on front Harness — leash clips on back Head collar Prong / Pinch Martingale Other Please specify collar.*Is it effective in keeping him/her under leash control?* Yes No Please explain.*Has your dog ever bitten a person?* Yes No What were the circumstances and how did you respond?*If there were any injuries, please describe.Has your dog ever bitten another animal?* Yes No What were the circumstances and how did you respond?*If there were any injuries, please describe.To the best of your knowledge, what does your dog do when you’re not at home?*Has your dog ever climbed/jumped a fence?* Yes No What were the circumstances? How high was the fence?*Has your dog ever escaped from your house or yard?* Yes No Please explain the circumstances.*How would you describe the energy level of your dog?* Low Medium High Has your dog ever been crated?* Yes No What is your dog’s level of comfort in a crate / enclosure?*How did you hear about us?