Play & Train Dog Behavior, LLC

Name*

Email*

What dates are you interested in boarding your puppy?*

Phone*

Alternate Contact (spouse, partner, etc.) Name

Alternate Contact Phone #

Address*

Please provide the name, best phone number, and relationship of your emergency contact.*

Veterinarian*

Veterinary Clinic/Practice Name

Veterinary Clinic/Practice Phone #*

Pet Name*

Birthday*

Sex*

Is your pet spayed or neutered? (Select yes for vasectomies/bilaterial oophorectomy)*

How much does your dog weigh (lbs)?*

Breed*

We do not support breed specific legislation. However, we are located in Prince George's County, where unfortunately, pit bull type dogs are not permitted. Do you attest that your dog is NOT a pit bull according to the following definition: Pit Bull Terrier shall mean any and all of the following dogs: (A) Staffordshire Bull Terrier breed of dogs; (B) American Staffordshire Terrier breed of dogs; (C) American Pit Bull Terrier breed of dogs; (D) Dogs which have the appearance of being predominantly of the breed of dogs known as Staffordshire Bull Terrier, American Staffordshire Terrier, or American Pit Bull Terrier. Predominantly shall mean that the dog exhibits the physical characteristics of a Pit Bull Terrier more than of any other breed of dog; (E) Dogs which have been registered at any time as a Pit Bull Terrier.

... more*

No/yes

When did you obtain your dog?*

Where did you obtain your dog?*

If you responded to the previous question with breeder, rescue group, or shelter, please share the name of your breeder or organization. Otherwise, please enter N/A. *

Is your dog current on all necessary vaccinations? This includes Distemper and Parvo (usually included in a combo vaccine such as DLPP or DHLPP), as well as rabies if your dog is 16+ weeks. We also strongly recommend vaccinating for Bordatella and Canine Influenza. Note: Proof of vaccination must be provided at least 24 hours prior to attending class. If your dog receives additional vaccinations at any point, please log in to your portal to upload them to keep records current. *

Vaccine Info: Rabies - Please enter the EXPIRATION date of your dog's most recent rabies vaccination and upload documentation. IMPORTANT: If your dog is less than 16 weeks and has not yet been vaccinated for rabies, please enter the date that your dog turns 16 weeks of age in the expiration date field below.

Expiry Date

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Please upload a Photo or PDF document.

Please enter the EXPIRATION date (not the date it was administered) of your dog's most recent distemper/parvovirus vaccine and upload proof of vaccination*

Expiry Date

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Please upload a Photo or PDF document.

Has your dog tested positive and/or been treated for parasites (hookworm, roundworm, giardia, etc.)?*NoYes

We require a negative fecal test within 2 weeks of beginning puppy services with us. If you have already had this done, please complete the Fecal Results field below. Otherwise, please email your results to us at info@playandtraindogs.com once you receive them. Note that it can take 1-2 days for your vet to receive/share results. Results must be provided at least 24 hours in advance. If your dog has tested positive, he or she must receive a minimum of 5 days of treatment, with two negative fecals, one after treatment and one two weeks later, before attending. *

Fecal Results: Please provide the date of your dog's most recent fecal test.

Please attach the results of your most recent fecal test below.

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Is your dog on a flea/tick preventative? If so, which one?

Which of the following do you use to confine your pet? Select all that apply.*

Excluding overnight, what is the maximum amount of time your dog is in the above at any given time point? *

In what situations is your pet confined to any of the above? Select all that apply.*When you are away from homeWhen you are home, but in another roomWhen you are home, in the same roomOnly when your dog is tiredOnly when he has something to keep him occupiedOvernight, in our or a family member's bedroomOvernight, in a room without a family memberWhen there is a lot of activity going on

Excluding overnight, how long is your dog able to hold it without having an accident (in hours)?*

How long is your dog able to hold it overnight? *

In what situation(s) has your dog interacted with other dogs? Select all that apply. *

Has your dog ever been aggressive to another dog? *NoYes

If yes to the above, please describe.

Has your dog ever snapped at or bitten someone? (Does not include normal puppy mouthing/nipping) *NoYes

How did you hear about us?*

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Please enter all required fields above.