Dog Training Form

Owner Information

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail

Phone Number

Area CodePhone Number

How Did You Hear About Us?

What Service Are You Interested In?

How Many Adults Live At Home?

Have You Ever Owned A Dog?

How Many Children Live At Home?

Have You Ever Trained A Dog?

Please Describe The Reason For Contacting Us

Dog Information

Dog's Name

Breed

Age

How Old Was The Dog When You Acquired It?

How Long Have You Owned The Dog?

Where Did You Acquire Your Dog?

Gender

Has Your Dog Been:

If so, at what age?

Where Does Your Dog Sleep At Night?

Is Your Dog House Trained?

Is Your Dog Current On All Vaccinations Including Rabies, DHPP and Bordetella?

Can you provide documentation if necessary?

Please List Any Medical Problems Your Dog Has Had:

How Many Dogs Are In The Household?

Behavior Information

Describe Any Previous Obedience Training:

Name of Trainer/Facility?

How Long Did You Participate In This Training Program?

When Was This Training Program?

Level Of Success?

Which Member Of The Family Has The Best Control?

Does Your Dog Know How To Walk On A Loose Leash?

Behavior Problems:

Describe Unwanted Behavior In Greater Detail:

Do You Use A Crate?

Do You Ever Muzzle Your Dog For Safety?

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

How Does Your Dog Respond To The Following Situations?

When Approached While Eating:

When Approached With Treat Or Toy:

When Dog Is Scolded:

When Dog Is Pushed Off Furniture Or Bed:

When Dog Is Approached While Sleeping:

To People Entering House/Yard:

To Children Or Infants:

While In Car To People Outside Of The Car:

To Other Dogs In Your Home:

To Other Dogs Outside Your Home:

Is Your Dog Ever Aggressive To Family Members?

Has Your Dog Ever Bitten A Person?

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

Trainer Notes