Bayside Training Questionnaire

Training Questionnaire
What Training are you interested in:

Aug/Sept Day Train SpecialBoard & TrainDay TrainingClassesPrivate Lessons
How did you hear about training at Bayside? (who recommended)*
Your Information
Your Name:*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState

Postal Zip Code
Phone Number:*

Area CodePhone Number
Alternate Phone Number:

Area CodePhone Number
Name of Contact of Alternative Phone Number:
Email:*
Describe your occupation:*
First time dog owner?*
Emergency Contact Information
Name:*

First NameLast Name
Phone Number:*

Area CodePhone Number
Email:
Relation:

Dog-People Relations
How does your dog react when strangers approach your home, yard or out in public?
Is your dog sensitive to any parts of their body being touched?
Feet, face, ears, tail, mouth, etc.
Has your dog ever growled/snapped/bit over food, toys, or other objects?

YesNoOther
Describe in detail circumstances - Who, when, where, how, and what object:
Has your dog ever bitten or snapped someone?*

YesNoOther
Describe in detail circumstances of the bite - Who, when, where, how, and seriousness of bite:
Does your dog startle or react when they hear loud noises? Please describe:
Thunderstorms, fireworks, loud trucks, etc.

Dog-Dog Relations
What does your dog do when they see another dog while on leash?
What does your dog do when they see another dog when they are behind a fence, inside your home, or in your car?
Has your dog ever been in an altercation/fight with another dog or animal?*

YesNoOther
Describe in detail circumstances of the fight - Who, when, where, how, and seriousness of fight:
Any thing else we should know about:

Household Information
Other household pets - Please list Species/Breed, Age, Sex, and if Spayed/Neutered:
Other members of household - Please list Name, Relation, and Age:
List other members that participate in training:
I hereby certify, that I have entered the information to the best of my knowledge and that it is true.

A copy of the Training Questionaire will be sent to you via email.

I represent that I am at least 18 years of age.

Signature and release of Owner/agent:
Signature*
Name*

First NameLast Name
Date

MonthDayYear
You will be required to sign two documents - Training Agreement and Owner Agreement. They are below.

Please print and bring with you or we have copies at the front desk.
Training Agreement
Owner Agreement
Should be Empty: