YespupTrainingApplication

Owner Information

This is a long form that will require
at least 15 minutes to complete.

The information you provide will help the trainer determine how best to help train you and your dog.

Please be complete and accurate.

Full Name*

First NameLast Name

List ALL Other Household Members Names and Ages

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Example (123)456-7891

2nd Adult Name

First and Last NamePhone Number

E-mail*

How Did You Hear About Us?*

How Many Dogs Currently Live at Home?*

Please List ALL PETS - Names, Species (Dog, Cat, etc), Age

Have You Ever Trained A Dog?

Primary Goals For Your Dog*

Briefly State What You Hope To Accomplish with YESPUP Training And Behavior Modification:*

How many dogs in your home need training? (NOTE: Group classes and Private Instruction rates are PER HOUSEHOLD. YES, you can train all your dogs!)

1 Dog2 Dogs3 Dogs4+ Dogs

Dog #1 Information

Please Attach A Picture of Your Dog

Browse Files

Dog Name*

Breed(s)*

Age*

Dogs Gender*

MaleFemale

Has Your Dog Been:*

SpayedNeuteredNot Altered

Who Referred You To YesPup.com For Training?

How Old Was Your Dog When You Acquired It?*

Where Did You Acquire Your Dog?*

If Breeder, Online or Rescue, Please Be Specific WHERE You Acquired Your Dog

Where Does Your Dog Sleep At Night?

Is Your Dog House Trained?

Brand and Variety of Dog Food and Treats:

If Your Dog Has a History of Biting or Aggression, Please Explain in DETAIL the Circumstances and Injuries Occured:

Preferred Service, If Known

Veterinary Information

Please Attach CURRENT Veterinary Records

Browse Files

Veterinarian Name

Vet Clinic

Is Your Dog Current On All Vaccinations Including Rabies?*

YesNo

Medical Issues

Please List All Medications Your Dog Is Currently Taking. Please Include Heartworm, Flea and Tick Medications, etc*

Please List Any Medical Problems Your Dog Has Had, Include Dates If Available:

Dogs Behavior Information

Describe Any Previous Obedience or Behavior Modification Training:

Level Of Success?

What Commands Does Your Dog Respond To Reliably?

Who In The Family Has The Best Control?

Does Your Dog Walk Calmly and In Control On A Leash?*

YesNo

What Does Your Dog Find Rewarding /Enjoyable?

How Many Minutes of Physical Exercise Does your Dog Get DAILY?

0 = None 10= 1 Hour + Per Day

Dogs Primary Source of Physical Exercise?

How Does Your Dog Respond
To The Following Tasks?

Behavior While Dog Food is Prepared?*

Behavior While Human Food Is Prepared?*

Leash Walking Behavior?

Leash Walking Behavior With Other Dogs?

Leash Walking Behavior With Other People?

Leash Walking Tools Used

Please Check Behavior Problems:*

Other Description, If Needed:

Describe Unwanted Behaviors In Greater Detail:

Describe How Dog
Behaves When Left ALONE:

During The Day:

During The Evening:

What Is Your Dog's Reaction To Your Departure?*

What Is Your Dog's Reaction To Your Arrival Home?*

Does Your Dog Use A Crate?*

YesNo

Does Your Dog Like The Crate?*

YesNo

If Your Dog Exhibits Any Of The Following Behaviors, Describe Where and When It Occurs (Example: "With Men" Or "In The Car")

Cowering

Tail Tucked

Retreating

Hiding

Pacing

Please Give Additional Information Regarding Fear Or Anxiety In Your Dog:

Describe Situations Where Your Dog Appears Fearful And/Or Aggressive:

Do You Ever Muzzle Your Dog?*

YesNo

Is Anyone In Your Family Afraid Of Your Dog? If So, Please Describe:*

What Methods/Tools Have You Used For Training This Dog?*

How Does Your Dog Respond To The Following Situations?

Behavior When Approached While Eating:

Behavior When Approached When Dog Has Treat /Toy

Behavior When Dog Is Scolded/Punished

When Dog is Removed From Furniture or Human Bed

Behavior as Guests Enter Home

Behavior with Strangers Outside Of Home

Behavior with Strangers INSIDE of Home

Behavior With Children or Infants

Behavior In Car Towards People Outside of Car

Behavior In Car Towards Dogs Outside of Car

Behavior Towards Other Dogs In Your Home

Behavior Towards Dogs OUTSIDE Of Your Home

Ever Aggrieve To Family Members?*

YesNoWho?Other

Has Your Dog Ever Bitten A Person?*

YesNoWho?Other

Has Your Dog Ever Been Reported To Animal Control For Biting?*

YesNo

What Should The Trainer Know About Your Home/Your Dog(s)?

I hereby give permission for the recording of my dog training session for educational purposes. I will never be recorded without prior verbal consent.

YesNoPlease contact me regarding recording.

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LIVE Virtual Private Training
product

LIVE Virtual Private Training - 60 Minutes $125.00

Up to 60 minute Live Virtual Training / Behavior Modification Session. Most clients will find five to eight 60 minute sessions helpful to teach obedience, manners and problem solving.

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Yespup Manual & Video Access$100.00

Gain access to the Yespup Google Drive full of handouts for reading, printing and downloading, PLUS video link access for skills, techniques and methods your trainer determines helpful to your goals. This is a ONE TIME FEE.

LIVE Virtual Private Training - 90 Minutes$195.00

Up to 2 Hour Live Virtual Training / Behavior Modification Session. Longer sessions are appropriate for aggression cases, long-term preexisting behavioral issues, or to identify behavioral training solutions.

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LIVE Virtual Group Courses
product

LIVE Virtual Basic Obedience Course$240.00

Each week during the LIVE Virtual Basic course, you will learn to teach your dog obedience skills, basic manners, gentle handling, leash walking skills and obedience specifically designed to teach your dog to be a wonderful member of your household. During each class period, students (and members of their household) will be taught skills and mentored on how to work best with their dog. Our goal is to create a happy, well adjusted, controllable dogs. Additional daily practice will be required throughout the week to help your dog adapt to newly learned skills. REQUIREMENT: Completed and Accepted Application for Training Six Sessions. 75 Minutes Per Session. AGES: 6 months through geriatric

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LIVE Virtual Puppy Politeness Group Course$240.00

Each week during the LIVE Virtual Puppy Politeness course, you will learn to teach your puppy basic manners, gentle handling, leash walking skills and obedience specifically designed to teach your young puppy to be polite. Additional daily practice will be required throughout the week to help your puppy adapt to newly learned skills. FIVE, 75-minute group training sessions. AGES: 6 weeks to 6 months old

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Therapy Dog - Group Course$800.00

DURATION: 12, 60 Minute Sessions Dogs age: 10 months old + Handlers age: 16 years old + LIVE Virtual Day/Times: Sundays 2:00 p.m.- 3:00 p.m. Course Length: 12 weeks (4 courses or 12 months training is typically required)

Service Dog - Group Course$800.00

Dogs age: 8 weeks old + Handlers age: 16 years old + Location: LIVE Virtual Day/Times: Sundays 3:30-4:30 CST Course Length: 12 Weeks (4 Courses/12 months of training is typically required)

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Total $0.00

Credit Card

NO REFUNDS -
ONE (1) CHANGE OF TIME/DAY IS ALLOWED

AGREEMENT TO HOLD HARMLESS, WAIVER AND ASSUMPTION OF RISK

I hereby waive and release Complete Canine Training, LLC and YesPup.com hereinafter referred to as the "Training Organization", its employees, officers, members and agents from any and all liability of any nature, for injury or damage which I or my dog may suffer, including specifically, but without limitation, any injury or death or damage resulting from the action of any dog, and I expressly assume the risk of such damage or injury while attending any training session, or any other function, of the Training Organization, or the surrounding area thereto.

I understand that virtual consultations and dog obedience training and behavior modification is not without risk to myself, members of my family or guests who may attend or view, or my dog, because my dog(s) may be difficult to control and may be the cause of injury even when handled with the greatest amount of care. I will create care in my workspace during virtual sessions being thoughtful about the placement of my camera and other valuable equipment.

I understand that YESPUP employees, apprentices, volunteers and representatives work hard to prevent accidents and injuries; and that such problems may occur no matter how well pets are cared for, or instruction is given. I agree to allow YESPUP, and its representatives, to use their best judgment in handling these situations, and I understand that CCT, and its representatives, assume no responsibility for the actions and decisions of the veterinary staff, the health, or death of my pet(s) or any other pet in the care of YESPUP.

In consideration of and as an inducement to the acceptance of my application for training membership by this Training Organization, I hereby agree to indemnify and hold harmless this Training Organization, its employees, officers, members and agents from any and all claims, or claims by any member of any family or any other person accompanying me to any training session or function to the Training Organization, or while during virtual training sessions, on the grounds or the surrounding area thereto where training is occurring, as a result of any action by any dog, including my own.

Owners Signature*

By Clicking The Submit Button You Agree To The Above Terms

YESPUP DOG TRAINING APPLICATION

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