Street Address Line 2
State / Province
Postal / Zip Code
Co-Owner Phone number
Please enter a valid phone number.
How did you hear about us?
Dog's Age When Acquired
Name of Breeder/Rescue where acquired from
Vet Clinic Name
What Flea/Tick and Heartworm Preventatives do you use?
List Any Medical Conditions, Medications, and Supplements:
Please upload proof of current Rabies Certificate, Distemper, & Bordetella vaccines.
Drag and drop files here
Choose a file
What Food Are You Feeding?
How Much and How Often? What is your typical feeding routine? Do you free feed? Feed in the Crate? Make your pup sit and wait before eating?
Please list any allergies or sensitivities:
Have You Owned a Dog Before?
Only a family dog while growing up
How much time can you spend working with your pup per day? (There are no wrong answers, this helps us pick the best program for you.)
Under 15 minutes
What type of training are you interested in? (i.e. private lessons, day train, or board and train?)
What types of collars/harnesses/tools have you used so far?
We use all different training tools to help you and your pup including, chain collars, prong collars, and electronic collars as well as treats. You are ok with this?
Please list household members and children's ages.
Are there other animals? Please list along with any issues.
Does your dog go to daycare or have a dog walker? How do they do?
Best describe your dog's behavior when meeting new dogs
The boss / dominant
We avoid other dogs
When interacting with new people or visitors, has your dog ever: (check ALL that apply)
Goes up to people and wants to be pet, may jump on them
Hid, ran away, cowered, or tried to escape
Snapped/Nipped at someone
Made a contact bite
When getting bathed, groomed, having nails trimmed, or being examined by the vet has dog ever (check all that apply)
Behavioral Concerns and explain any details in the next section (please check all that apply)
Puppy Nipping / Mouthing
Biting (no blood drawn or medical attention needed)
Biting (medical attention required)
Jumping on People
Pulling on the leash
Excessive barking in the house
Excessive barking in the yard
Excessive barking/nonsense in the crate
Destructive (Chews/eats your personal items or property)
Reactive to other dogs (barking/lunging/etc.
Reactive to people inside the home/property
Reactive to people outside the home/property
Muzzle needed at groomer/vet
Growls over food
Growls over toys
Growls over space (couch, bed, kitchen, etc)
Growls over you or other household members
Fights with other animals inside the home
Fights with other animals outside the home
Marks inside the house
Not reliably house trained
Doesn't ride well in vehicles
Shows anxiety or fear
Scared of loud noises (fireworks/thunder)
Doesn't come when called
Doesn't respond to commands (sit, down, etc.)
Counter Surfing / Trash Picking
Running Away and staying within view
Running Away out of view
Please list any details from the behavioral concerns checklist if needed:
What are your top 3 training goals?
Should be Empty:
Now create your own JotForm - It's free!
Create your own JotForm