Private Training Registration Form
Please complete all relevant sections
Please enter a valid phone number.
Date of Birth (DD/MM/YY):
Where did you obtain your dog from?
Other: Please Specify
How long have you had your dog for?
Please list all other pets in the household:
Canine Medical Information
Current Vet Clinic
DA2PP (Most recent)
Date given: (DD/MM/YY)
Please attach all relevant vaccine records:
Drag and drop files here
Choose a file
What kind of food are you feeding your dog?
How much are you currently giving them?
Please list their eating habits: How many times per day? Are they food motivated? etc..
Please list all known allergies
History & Background
Please list all other human members in the household:
Do you have any concerns regarding their relationship with your dog? If yes, please list them:
What types of exercise does your dog get on a typical day? (Leash walks, off leash, dog park, daycare, play time, etc..) Please also include approximate duration.
How would you describe your dogs energy level?
Where does your dog sleep at night?
Where is your dog kept when you are not at home?
How does your dog do in the car?
What type of leash/ collar/ harness are you using?
Does your dog walk nicely on leash?
Has your dog had any other training? (Choose all that apply)
Off site trainer
What cues does your dog know? (Choose all that apply)
Place/ bed/ crate
Please list 3 things you wish your dog would learn
Please list 3 things you wish your dog would not do
Please check all behaviors that apply to your dog
Reactive/ Aggressive towards people
Reactive/ Aggressive towards other dogs
Pulling on leash
Jumping on furniture
Steals food/ objects/ etc
Bolts out of doors/gates
Guards food/ toys/objects
Excessive attention seeking
Selective with certain people
Other undesirable behaviors (Please Explain)
Please describe any other information or concerns that you feel we would benefit from knowing about your dog:
Should be Empty: