Pet Evaluation Form

Wichita Falls

Contact Information

Name*

First

Last

Phone Number*

Email*

Veterinarian Clinic*

Other Veterinary Clinic if not listed

Veterinarian Clinic Phone

Contact if you cannot be reached*

First

Last

Other Contact Phone*

First

Last

Breed*

Age*

Weight*

Describe any allergies, previous surgeries, medical conditions, or physical limitations your pet may have.

Has your pet ever been boarded?*

Yes

No

Unknown

Does your pet attend daycare?*

Often

Rarely

Never

Has your pet had obedience training?*

Yes

No

Unknown

What other off leash play has your pet experienced with other pets?

Would you say your pet is comfortable playing with other pets?*

Almost Always

Sometimes

Rarely

Never

Unknown

Is your pet fearful of anything?

Does your pet have any issues sharing toys, food, or other resources?*

Yes

No

Unknown

If yes, describe issue or items your pet guards.

Which benefits of off leash group play do you hope to gain for your pet?*

What is your pet's typical play style?*

Alpha

Body Slam

Calm

Cat-like

Chase

Mouthy

Non-stop

Rough

Wrestle

Vocal

Has your pet ever bitten?*

Yes

No

Unknown

Explain any bite history including whether or not medical attention was required.

Has your pet had any issues with any of the following?

Aggression towards people

Aggression towards other pets

Biting, hissing, or growling

Chasing other animals, vehicles, or people

Chewing or swallowing toys, beddings, etc.

Darting out open doors

Digging under fences

Nervousness / Fear

Jumping Fences

Pulling on or out of collar/leash

Resource Guarding

Separation anxiety

other

Explain any issues

Additional Information you would like us to have about your pet

Current vaccination records are required. You may email, bring by during registration, or have your vet email or fax them to 806-331-1102

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