Imperial Enrichment Center Enrollment Application
The purpose of the Imperial Enrichment Center is to provide a safe, fun and stimulating social environment for dogs. To ensure the safety and health of your pet and our other guests, we require that all guests comply with the following rules and regulations:
Age: All dogs must be at least 12 weeks of age or older
Sex: Females must be spayed unless younger than 6 months Males may be unaltered, eligibility based of temperament
Vaccinations: Distemper, Rabies and Bordetella vaccines are required for all of our guests.
Health: All dogs must be in good health. Owners will certify their dog(s) are in good health and have not been ill with a communicable condition in the last 14 days. Upon admission, all dogs must be free of any condition which could potentially jeopardize other guests. Flea prevention is recommended for any dogs entering a group play setting. Dogs that have been ill with a communicable condition in the last 14 days will require veterinarian certification of health to be admitted or readmitted into the enrichment center.
Behavior: All dogs must be non-aggressive and not food or toy protective. Owners will certify their dogs have not harmed or shown any aggressive or threatening behavior towards any person or any other dog(s). Please remember: your pets will be spending time with other pets and the safety and health of all animals is our main concern.
Application and Waiver: All dogs must have a complete, up to date and approved application on file along with a signed group play liability waiver.
Let’s get to know your pet:
Owners Full Name:
Phone Number:
Dog’s Name:
How old is your dog?
Date you acquired your dog:
Is your dog spayed/neutered? YesNo
If the answer is yes, what age was the spay/neuter done?
Where did you get your dog?
If adopted, do you have any knowledge of your dog’s past history?
Does your dog like children? YesNo
How does your dog behave around children?
Are there other animals in your household? YesNo
If yes, please list type, sex and age of each:
How does your dog get along with other resident animals?
Why are you bringing your dog for enrichment?
Is your pet on flea prevention? YesNo
Does your pet need restrictions to be placed on their activities or movements? YesNo
If the answer is yes, please explain:
Does your dog like to be brushed? YesNo
How does your dog react to having their nails clipped?
Does your dog have any sensitive areas on their body? YesNo
Where are your dog’s favorite petting spots?
Behavior:
How does your dog react to strangers coming into your home or yard?
Does your dog act afraid of any specific items or noises? YesNo
If so please explain:
Does your dog ever bark or growl at anyone passing outside your home or yard? YesNo
Are there any kinds of people your dog automatically fears or dislikes? YesNo
Are there any kinds of dogs your dog automatically fears or dislikes? YesNo
How does your dog react to puppies?
Has your dog ever?...
Growled at someone? YesNo
What were the circumstances?
Bitten someone? YesNo
Has your dog ever growled or snapped at anyone who has taken their food or toys away from them? YesNo
Does your dog have any problems in any of the following areas: MouthinessHouse TrainingBarkingDiggingJumpingOther+
(if so, please explain)
Has your dog ever shared their food or toys with other animals? YesNo
Does your dog play with any toys? YesNo
If Yes, what kind of toys does your dog like and what games does he/she play?
Does your dog play with other dogs? YesNo
Has your dog had any formal obedience training? YesNo
If yes, when and where?
What commands does your dog know?
Other comments about your dog which feel might be helpful:
