Don't fill this out: Services You Are Interested In Using * Daycare Boarding Training Grooming Owner Information Owner's Name * By providing your phone number you consent to receive text messages from Puppy Playground LLC regarding your inquiries into our services, account updates, and other relevant information. Message frequency will vary. Message and data rates may apply. For assistance, reply HELP or visit our contact form. To stop receiving messages, reply STOP. No further messages will be sent. For details, see our Privacy Policy. Address * --- Select state --- AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Emergency Contact * Dog Information Sex * Male Female Birthdate * Is your dog spayed/neutered? * Yes No Would you like us to notify your vet in case of an emergency? * Yes No Is your dog on any flea or tick prevention? * Yes No Is your dog on heart worm protection? * Yes No Behavior & History Is your dog good with other dogs? * Yes No Maybe/Unsure Has your dog ever bitten someone? * Yes No Has your dog ever attacked or bitten another dog or animal? * Yes No Is there any PERSON, type of DOG or SITUATION your dog seems uncomfortable with? (different size dogs, men, hats etc) * Yes No If YES, please explain: Is your dog good with children? * Yes No If NO, please explain: Has your dog shown any signs of food aggression? * Yes No Maybe Has your dog ever shown signs of toy aggression? Yes No Maybe Is your dog 100% potty trained? * Yes No Are there any housetraining or other issues we should know (e.g. chewing, potty training, separation anxiety)? * Where does your dog sleep? * How often is your dog around other dogs outside of the home? * What is your dog's favorite toy? * Are there any places your dog does not like to be touched? * How old, and under what circumstances did you adopt your dog? * Does your dog have issues with enclosures or being alone in a room? Yes No Maybe/Unsure Please provide any relevant background information such as history of abuse, lack of socialization or other events that may impact socialization and care. * Has your dog participated in group play in the past? * Yes No Has your dog ever had cause for concern during group play? (if yes, please explain) Has your dog had training classes? * Yes No If you had classes, please indicate where, how many and specific goals? Please indicate what type of collar you currently use * Select… Standard snap collar Buckle collar Break-away collar Prong/pinch collar Shock Collar Harness Gentle lead Other Has your dog ever tried to dig under or jump over a fence? Yes No Does your pet have any special needs or illness? (please describe if so) Does your dog have any allergies? * Yes No If yes, please explain Please list all medications your dog takes? (include time of day) * What brand of dog food, how much and how often? * Is your dog allowed to have any snacks? (e.g. carrots, treats, popcorn) * Yes No How did you hear about Puppy Playground? * Postcard in Mail Grooming Customer Friend Google Flyer Facebook Instagram Other Submit Submit
