Group Play Application Required Fields in Red Client Name: Pet Name: Date: Is your dog getting the socialization and play time they need? Treat your dog to a 20 - 30 minute group playtime providing both dog and people interaction. We have a sanitized outside yard as well as a climate-controlled indoor playroom when the weather is not ideal. Our play areas allow for maximum fun and the chance for your pet to burn off some pent-up energy. Our groups consist of similar size, weight, energy level and sometimes age to allow for the best experience when socializing with others. If you would like your pet to participate in group playtimes, please fill out the questionnaire below to the best of your abilities. A free assessment will be done the first time your dog stays with us to determine if group play is an option. If they do not qualify for group play, we will make a note in their chart they will receive individual or family playtime only. 1. Has your pet ever been in a group play scenario? NoYesUnsure If yes, how did he behave? 2. Is your dog fearful toward people or other animals? NoYesUnsure If yes, how did he behave? 3. Has your dog ever displayed any form of aggression toward people or other dogs? NoYesUnsure If yes, what were the circumstances? 4. Can you take food away from your dog without him/her growling? NoYes 5. Does your dog share toys with other dogs? NoYes 6. Does your dog have any activity restrictions? NoYes If yes, please describe 7. Does your pet chew on blankets, beds, rocks, etc? NoYes If yes, what were the circumstances? If my pet does not qualify for group play, I elect Individual/Family Play NoYes I understand, authorize, and agree to the above services while my pet is in the care of Lanier Animal Hospital. I accept the potential risk involved in group play, and I understand that Lanier Animal Hospital is not responsible for any injuries that may occur. Digital Signature Play group size: ToySmallMedLargeGiant Age: Play group category: JuniorAdultSenior 1. Toy guarding (10 most compatible) Rating 012345678910 2. Food guarding (10 most compatible) Rating 012345678910 3. Attitude towards dogs HappyFearfulPlayfulAggressiveCautious 4. Attitude towards people HappyFearfulPlayfulAggressiveCautious 5. Attitude when getting out of Cage HappyFearfulPlayfulAggressiveCautious Comments: