Dog Training Form

Owner Information
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Phone Number
E-mail*
Briefly State What You Hope To Accomplish In This Class/sessions:*
Dog Information
Dog's Name*
Breed*
Age*
Gender*

MaleFemale
Has Your Dog Been:*

SpayedNeuteredNone of the Above
Please List Any Medical Problems Your Dog Has Had:*
Training you require?
Behavior Information
Describe Any Previous Obediance Training:
Does Your Dog Know How To Walk on lead? *

YesNo
Other Description, If Needed:
Behavior Problems:*

Jumping UpChewingDiggingBarkingHowlingWhiningUrinatingStool EatingTail ChasingStaringAggressionReactivity
Describe Unwanted Behavior In Greater Detail:*
Do You Use A Crate?*

YesNo
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
Has Your Dog Ever Bitten A Person?*

YesNo
Should be Empty: