Dog Training Form

Owner Information
Full Name*

First NameLast Name
Pronouns
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail I*
How Did You Hear About Us?*
How Many Children Do You Have?*
Have You Ever Owned A Dog?*
Briefly State What You Hope To Accomplish with training*
Dog Information
Dog's Name*
Breed*
Age*
How Old Was The Dog When You Acquired It?*
Gender*

MaleFemale
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?
Veterinary Information
Veterinarian
Vet Clinic
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is Your Dog Current On All Vaccinations Including Rabies?*

YesNo
Vaccination Dates:
Rabies:*
DHLP:*
Please List All 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
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*
Behavior Problems:*

Jumping UpChewingDiggingBarkingHowlingWhiningUrinatingStool EatingTail BitingTail ChasingStaringAggression
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
If no, why?
Does Your Dog Like The Crate?*

YesNo
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:*
Ever Aggressive To Family Members?*

YesNo
Has Your Dog Ever Bitten A Person?*

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

YesNo
Do you want to book a consultation? (consult are $100 non refundable)

YesNo
Consultations are $100, & credited to the program chosen when booking, otherwise nonrefundable. How will you be paying?*

CheckCashZelle
When are you available for a consultation?

MonthDayYear
Date
Requested Board & Train start date: (next available opening: March 2025)

MonthDayYear
Date
Should be Empty: