Name
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First Name
Last Name
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
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(###)
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Your Email Address
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Other Members of Household:
Please include relationship and age of any children.
How did you hear about me?
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What Training Program are you interested in?
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Dog's Name
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Sex
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Weight
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Color
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Neutered
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Dog's name at the Rescue/Shelter if different
How long have you had your dog?
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Other Household Pets
Age, Sex, Spay/Nueter:
Dog walker and/or Daycare company you use
Vet Clinic
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Current Medications:
Dog Allergies
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If yes, list allergies here
Current or past medical problems or injuries:
Is this dog currently on Heartworm Preventative:
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Is this dog currently on flea / tick preventative
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Describe primary feeding routine
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How often are you feeding, Do you leave the food out, use an Interactive feeder, make your dog wait, in the crate etc...
What are your training expectations
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Your immediate and future goals?
What kind of training has your dog had
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Select all that apply.
If you had training, with who and what did you learn?
Is the dog crate trained?
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This means OK in the crate with the door closed and no one home.
Describe issues surrounding crate training
Does your dog use wee wee pads?
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Allowed to roam free in house when you are not home?
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How long is your dog home alone on average?
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Allowed to run free in yard?
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Allowed on furniture?
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How does your dog react when you leave?
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Have you seen any signs of Separation Anxiety?
Describe walking on a leash:
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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?
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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?
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If yes, how does it go?
How does your dog react to other animals?
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Cats, birds, squirrels, etc.
Do you currently take your dog to dog parks?
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Does your socialize with other dogs, outside of a dog park?
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At Day care, a 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?
How does your dog react when people enter your home?
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Is your dog startled or scared of loud noises?
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Thunderstorms, fireworks, loud trucks, buses, carts, skateboards etc…
If Yes describe:
Is your dog sensitive to any parts of his/her body being touched?
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Ears, mouth, paws, nails, backend, etc
If yes, explain:
Is your dog possessive / growled / snapped / bit over food, toys or other objects?
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If yes, please describe the incident/s
The more information you can give the better.
Has your dog ever growled at someone?
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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?
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Even snapping and nipping if your dog only left a bruise.
Has your dog ever bitten an animal?
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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?
Is your dog Muzzle conditioned?
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If your dog has bit or snapped at someone we will need to Muzzle conditioned your dog.
Does your dog obsessively:
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If so, explain:
Are there any OTHER behaviors or problems you would like addressed?
Jumping, counter surfing, barking at the doorbell etc..
What are your dog's best qualities and what does your dog love to do the most?
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I read & understand the Cancellation Policy
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All appointments scheduled will require a 48 hour notice of cancellation by the owner or will otherwise be charged at full price. Exceptions will be made for weather, emergency / medical circumstances. All session booked in a package must be completed within 3 months of purchase, unless there is a emergency / medical circumstances.
Do you agree to the Training Agreement terms?
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See a link below to read the Training Agreement in full.
