Willkommen to the X-pack

Owner Information

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

E-mail*

example@example.com

How did you hear about us?*

Please be specific (ex.: Instagram, Facebook, TikTok, Nextdoor, Person's Name, Vet or Organization)

Do You Have children if so, what age?

Have You Ever Owned A Dog?

Have You Ever Trained A Dog?

Briefly State What You Hope To Accomplish With Our Training:*

We know you have tons of them ;), please upload a good picture of your dog!

Please make sure we can see their furry face.

Dog Information

Dog's Name*

Breed*

Birthday *

Date

How Old Was The Dog When You Acquired It?*

Gender*

MaleFemale

How Long Have You Owned The Dog?*

Has Your Dog Been:*

SpayedNeuteredNone of the Above

Where Did You Acquire Your Dog?*

Where Does Your Dog Sleep At Night?

Is Your Dog House Trained?

Behavior Problems Of Parents Or Littermates, if Known?

Is Your Dog Current On All Vaccinations Including Rabies?*

YesNo

Please Upload Your Dog's Most Recent Vaccination Records. *

If you only have physical copies, please take pictures of them and upload them.

Please List All Illnesses Your Dog Currently Has, If Contagious And Medications Your Dog Is Currently Taking. Please Include Heartworm, Flea and Tick Medications, etc*

Please List Any Medical Problems Your Dog Has Had:*

Behavior Information

Describe Any Previous Obedience Training:

Level Of Success?

What Commands Currently Work Best?

Which Member Of The Family Has The Best Control?

Does Your Dog Know How To Walk On A Leash?*

YesNo

How Does Your Dog Respond To The Following Tasks?

Trimming Nails?*

Giving Pills?*

Cleaning Ears?*

Grooming?*

Bathing?*

Patting Head?*

Grasp Collar?*

Being Lifted?*

Rolling Over*

Tell Me About Any Correction Techniques You Have Used And Their Effect On Your Dog’s Behavior:

Time Out

Leash Correction

Verbal Scolding

Noisemaker

Water Spray

Rollover

Other

Other Description, If Needed:

Behavior Problems:

Describe Unwanted Behavior In Greater Detail:*

Describe How Your Dog Reacts To The Following Times When Left Alone:

During The Day:

During The Evening:

What Is Your Dog's Reaction To Your Departure?

What Is Your Dog's Reaction To Your Homecoming?

Do You Use A Crate?*

YesNo

Does Your Dog Like The Crate?*

YesNo

Does Your Dog Exhibit Any Of The Following Behaviors, and When Does It Occurs (With Men Or In The Car)

Cowering

Ears Back

Tail Tucked

Retreating

Hiding

Excessive Salivating

Pacing

Please Give Additional Information Regarding Fear Or Anxiety In Your Dog:

Describe Situations Where Your Dog Appears Fearful And/Or Aggressive:

Do You Ever Muzzle Your Dog For Safety?*

YesNo

Is Anyone In Your Family Afraid Of Your Dog? If So, Please Describe:

How Does Your Dog Respond To The Following Situations?

When Approached While Eating:*

When Approached With Treat Or Toy:*

When Dog Is Scolded:*

When Dog Is Pushed Off Furniture Or Bed:*

When Dog Is Approached While Sleeping:*

To Strangers Outside Of The House:*

To People Entering House/Yard:*

To Children Or Infants:*

While In Car To People Outside Of The Car:*

To Other Dogs In Your Home:*

To Other Dogs Outside Your Home:*

Ever Aggresive To Family Members?*

YesNo

Has Your Dog Ever Bitten A Person?*

YesNo

Has Your Dog Ever Been Reported To Animal Control For Biting?*

YesNo

**WAIVER, HOLD HARMLESS AGREEMENT, AND ASSUMPTION OF RISK**

I acknowledge that participation in a dog obedience training class involves inherent risks to myself, my family, guests, and my dog. I understand that some dogs present in the class may be difficult to control and could pose a risk of injury, even with careful handling. Accordingly, I hereby release and discharge All-X K9/allxk9.com, referred to as the "Training Organization," along with its employees, officers, members, and agents from any and all liabilities, claims, actions, damages, costs, or expenses that may arise, including those resulting from the actions of any dog.

By attending any training session or function organized by the Training Organization or being present on its training grounds, I expressly assume all risks associated with such activities. In consideration of being accepted for training membership, I agree to indemnify and hold harmless the Training Organization, its employees, officers, members, and agents from any claims or actions brought by myself, family members, guests, or any other person accompanying me to a training session or function.

I further acknowledge that any training packages purchased must be utilized within a 6-month period from the date of purchase, after which they will expire. I understand and agree to this condition.

Additionally, I hereby represent that my dog is not currently suffering from any illness, and I commit to informing the Training Organization immediately if my dog develops any illness during the course of training.

I understand that if I fail to disclose any contagious dog illnesses that could harm other dogs, I will be liable for any damages that may occur.

**NO REFUNDS - NO CLASS CHANGES AGREEMENT TO HOLD HARMLESS, WAIVER AND ASSUMPTION OF RISK**

I hereby consent to my dog being the subject of photographs, audiovisual recordings authorizing images to be used on social media, video, television or any other medium that All-X K9 wishes to use.

By Clicking The Submit Button You Agree To All The Above Terms

Signature

Willkommen to the X-Pack!