Dog Intake Form
Bentley's Legacy
How Did you hear about Bentley's Legacy?
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Which services were you inquiring about?
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Dog Camp
Basic Obedience Training
ECollar Training
Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Spouse
First Name
Last Name
Spouse's Email
example@example.com
Home Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is your dogs name:
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What is your dogs Breed/Mix (if known):
Birthday/Age (approx):
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Weight (approx):
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Is your dog spayed/neutered?
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Please Select
Yes
No
Is your dog current with all preventatives and vaccinations?
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Please Select
Yes
No
Does your dog have a secure collar with ID tags?
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Please Select
Yes
No
Does your dog have any medical issues or food allergies?
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Has your dog ever bitten a person?
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Has your dog ever attacked or seriously injured another dog/animal?
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Emergency Contact
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First Name
Last Name
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
What is your dogs primary Veterinary office?
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Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is your house trained and/or crate trained? Select all that apply.
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My dog is house-trained
My dog is crate trained
My dog is still potty training
How would you rate your dogs energy level?
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Low
Moderate
High
Has your dog ever gotten loose, tried to run away, jumped or climbed a fence?
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How is your dogs recall? If they are off leash, will they reliably come back to you when called?
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What training techniques is your dog accustomed to?
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What commands does your dog know and/or what commands are you working on?
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Does your dog have any dislikes, fears or situations that might be anxiety provoking for them? i.e loud noises, men with hats, vacuums etc
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Has/does your dog engage in any destructive activities?
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Do you have any objection to treats as a means of positive reinforcement?
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Yes
No
Has/does your dog guard people, objects, or food?
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Please Select
Yes
No
Sometimes
Is your dog comfortable and/or relatively at ease with riding in the car?
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Is your dog reactive to other dogs on/off leash?
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Please Select
Yes, both.
Just on leash
No, neither
Sometimes
Do you use a harness or a gentle leader to walk your dog?
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How would you rate your dogs prey drive?
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Please Select
Low
Moderate
High
What is your dog’s play style? Do they enjoy playing with other dogs? Do they like to play rough or have a more casual type of play?
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Are there any special toys, specific treats or items you would like to send for me to have on hand for your dog?
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Are you OK with your dog's photo being used on Bentley's Legacy's social media?
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Yes
No
Is there anything else that I should know about your dog?
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Submit
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