Start Right Session - Intake Form

Intake Form

Use the "Save" button below if you wish to save your progress and continue this form later.
Name

First NameLast Name
Email
example@example.com
Phone number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState

Zip Code
Dog's name
Dog's age
Dog's breed
Dog's sex
Dog's weight (approx)
(Optional) Share a favorite picture of your dog with us:

Browse Files

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How long have you owned your dog?
Where was your dog acquired from?
List all members of the dog's household and indicate whether they are a child, adult, or other pet (if pet, what species?).
Primary veterinarian and hospital name:
May we send a copy of your dog's behavior report and training plans to your veterinarian?
List any food allergies, dietary restrictions, or other relevant health conditions:
What are your dog's favorite treats, toys, or activities?
What type of exercise or enrichment activities does your dog typically get and when?
What is one thing you most enjoy about your dog?
If applicable, please share any helpful info for our visit, such as visitor parking info, gate codes, etc.:
How did you hear about us?
Training & Behavior Information
In detail, please describe your training goals and behavior concerns that you'd like to address:
Please be specific. i.e. What does the behavior look like? When and how often does it occur? What makes it better or worse? Has it changed over time?
Has your dog ever shown aggressive behavior (growled, snarled, bitten or attempted to bite)?
Has your dog ever bitten a person or other animal which broke skin?
For each incident: Describe who it was directed at, the situation preceding the aggression, and describe if anyone was injured (and how severely):
Which of the following threat behaviors, which often precede a snap or bite, have you seen from your dog? (Check all that apply)
What equipment or tools do you currently use with your dog, if any?
Ex: Walking harness, head halter, special collars, treats, invisible fence, or other devices.
What equipment or tools do you currently use with your dog, if any?
Ex: Harness, long line, prong or e-collar, treats, crates, pens, pet gates, invisible fence, or other devices.
How would you describe your dog's general interest in food/treats?
Is your dog comfortable being left home alone?
Please explain how your dog reacts as you are preparing to leave, and what your dog does when alone:
COVID-19 Information
Have you or any member of your household tested positive for COVID-19 within the last two weeks?
Explain who was exposed and when:
I agree that I must notify Collaborative Canines if myself or someone in my household tests positive for the virus, at any time prior to the appointment.
Guarantee Policy
JoyDog cannot guarantee any particular training outcomes, performance, or results. I understand and accept that even the most effective dog training practices function only to increase or decrease the probability of a certain behavior or behavioral outcome.
Photo & Social Media Consent
I agree that pictures and/or videos of my dog may be posted to the JoyDog Training website, public social media pages such as Facebook, Instagram, and YouTube, or used in other promotional materials.
I agree that pictures and/or videos of me, my family members, and/or my dog may be posted to the Collaborative Canines website, public social media pages such as Facebook, Instagram, and YouTube, or used in other promotional materials.
Cancellations & Rescheduling Policies
CANCELLATIONS: Cancellations 48 hours before the appointment receive a 50% refund. Cancellations later than 48 hrs before are NOT refunded. RESCHEDULING: Rescheduling with less than 48 hours notice given will result in a 50% of the session cost fee. (This is because we cannot use this time to assist other dog guardians on such short notice. Thank you for understanding.)
Waiver of Liability
JoyDog will endeavor to offer only sound, safe, and responsible training instructions and recommendations. However, I recognize that JoyDog is not responsible for any unintentional errors, omissions, or incorrect assertions. I understand that the recommendation of any other product or service is not a guarantee of my satisfaction with that product or service. Further, I am and will remain responsible for the actions of my dog at all times. I assume responsibility for any injury, expense, costs, or damages caused by the actions of my dog that occur during training or after training is completed. I hereby agree to indemnify and hold harmless JoyDog of any and all claims by myself or claims by any member of my family of injury, expense, costs or damages to myself, my dog, or to any third parties arising out of my own actions or the actions of my dog at any time. I have read the above-stated provisions, and I agree to accept those responsibilities.
By signing below, you indicate that you have read and agree to the policies and waivers as stated above, and that the provided information is true and accurate to the best of your knowledge.
Name

First NameLast Name
Date

MonthDayYear
Date
Should be Empty:

Intake Form

Training & Behavior Information

COVID-19 Information

Guarantee Policy

Photo & Social Media Consent

Cancellations & Rescheduling Policies

Waiver of Liability