Name
First Name
Last Name
Pronouns
Phone
*
(###)
###
####
Your Email Address
*
Partners Name
First Name
Last Name
Pronouns
Dog's Name
*
Sex
*
Weight
*
Color
*
Neutered
*
How long have you had your dog?
*
Current Medications:
Dog Allergies
*
If yes, list allergies here
Current or past medical problems or injuries:
What kind of training has your dog had
*
Select all that apply.
Describe walking on a leash:
*
How long and many walk per day, how are your walks, good, bad, the more detail the better.
What kind of collar or harness are you using or have used in the past?
*
Front/back clip harness, flat collar, martingale, head halter, choke, slip lead, pinch/prong, E-collar.
Do you let your dog meet other dogs on leash?
*
If yes, how does it go?
Do you currently take your dog to dog parks?
*
Does your socialize with other dogs, outside of a dog park?
*
At daycare, off-leash hours at parks, "Play Dates" at your or a friends/family home.
If yes , how does your dog do during off leash play and socialization?
Is your dog sensitive to any parts of his/her body being touched?
*
Ears, mouth, paws, nails, backend, etc
If yes, explain:
Is your dog possessive / growled / snapped / bit over food, toys or other objects?
*
If yes, please describe the incident/s
The more information you can give the better.
Has your dog ever growled at someone?
*
Human or Dog, other than over an object discussed above.
If yes, please describe the incident/s
The more information you can give the better.
Has your dog ever bitten a human?
*
Even snapping and nipping if your dog only left a bruise.
Has your dog ever bitten an animal?
*
Even snapping and nipping, and your dog didn't leave a hole or mark.
If yes with a human or animal, please describe the incident/s, as much detail as possible
Please include details of all bite incidents including how approximately long ago they were, did the bite break skin? Were there punctures, did it draw blood or need sutures?
I have read the Training Agreement*
Checking the box “Yes, I agree” is an agreement to these terms.
Thank you for choosing Canine Cohen and filling out the training application. Due to the Covid Pandemic, my response may be delayed; I apologize for the possible delay.
