Off The Leash Boarding Application

Off The Leash Dog Boarding Application

This is a screening tool used to determine if the cage-free home boarding environment is the correct fit for your dog. Please answer as completely and openly as possible to ensure your dog’s safety and happiness. This environment is not for every dog.
Owner’s Name*

First NameLast Name
Date wishing to Start Boarding*

MonthDayYear
Date
Thru date *

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState

Postal / Zip Code
E-mail*
Cell Phone/Text*

Area CodePhone Number
Preferred Contact Method for Follow up on Application
Pet information
Pet’s Name*
Date of Birth: must be 4 months old and have all puppy shots*

MonthDayYear
Date
Sex*
Males over 11 months must be neutered and females can not be in heat during their stay.
House Trained*

YesNoPiddle Pad TrainedDiaper
Breed*
Size

ToySmallMediumLargeGiant
Behavior

Your dog will be in an open environment with other dogs. Please list all behavioral questions fully for the best care, safety and experience for your dog. If you have a destructive or aggressive dog or one with high prey drive then this is not the right environment.
Has your dog been socialized with other dogs*

A littleJust other Family DogsVery SocialNo
What Social Type is your dog*

Dog Social: enjoys and seeks out other dogs and tolerates most rude behavior from othersDog Tolerant: Gets along with most dogs. Playful with some and neutral or disinterested when not in the moodDog Selective: Does well with select dogs of similar temperament. Will let others know when they want to be left alone.Dog Intolerant: "Lone Wolf" Does not want to interact with other dogs. OK to be near others but no play.Dog Aggressive: Will readily growl and snap. Must be kept away from other dogsUnsure. Needs a temperament assessment
Does your dog show food or resource guarding towards other dogs or humans?*

YesNo
Has your dog ever been in a dog fight?*
Has your dog ever shown aggression to a person*
What is your dog’s play style

RowdyHigh EnergyBall FocusedWrestlerHumperLaid BackBullyTacklerObserver
Does your Dog Regularly go to :

Doggie Day CareGroomingLarge Boarding FacilityDog Parks
List Likes
List Fears
Commands Known

SitStayWaitLeave ItRecall
When dog is called they will:*

ComeCome back after a few timesHave to be bribed with treatsPlay keep-away and run
My dog barks:*

When left aloneAt everything and nothingJust during play and high excitementOnly when Timmy falls down a well
Is your dog a digger*
Will your dog go over or under a fence*
We have a 4 foot high wood and wire fence with livestock and wild animals on the other side. Not all dogs are a good match.
When Left Alone your dog usually*

SleepsPacesChews on household itemsPlays with own toysWhines/ howlsBarksTries to escape houseLikes to watch TV/listen to Music
When dog is home alone they*

Have free roam of houseStay in a crate or dog proof room
Does your dog show Separation Anxiety*
List Any Special needs or Concerns
Health Info and Care Instructions
Veterinarian*
Last Vet Check-up*

MonthDayYear
Date
Health History
Past & Present: please include any health history that would need to be monitored, ie, past injuries, allergies, digestion issues
Medications am:
Medications pm:
Any activity restrictions or Limitations

YesNo
Details:
Allergies
Sensitive Areas of Body
Flea and Tick Control Medication*
We live in the woods, flea and tick prevention is needed
Date last given*

MonthDayYear
Date
Rabies Vax Due*

MonthDayYear
Date
Distemper Vax Due*

MonthDayYear
Date
Bordetella Vax Due*

MonthDayYear
Date
Upload Vaccination Record.

Upload a File
Upload images or documents. If not attached to this form a hard copy will be required before any stays Cancelof
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Off The Leash Dog Boarding Application

Pet information

Behavior

Health Info and Care Instructions