Pup Academy Training Form

Owner Information

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

E-mail*

How Did You Hear About Us?*

How Many Children Do You Have?*

Have You Ever Owned A Dog?*

Have You Ever Trained A Dog?*

Briefly State What You Hope To Accomplish In This Class:*

Dog Information

Take Photo

Dog's Name*

Breed*

Age*

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?

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:*

Upload a photo of current vaccination records:*

Browse Files

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:*

Please List Anything Your Dog Is Allergic To:*

Behavior Information

Describe Any Previous Obediance 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

Behavior Problems:*

Describe Unwanted Behavior In Greater Detail:*

Do You Use A Crate?*

YesNo

Does Your Dog Like The Crate?*

YesNo

Please Give Any 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:*

Has Your Dog Ever Bitten A Person?*

YesNo

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

YesNo

Choose your Training Package

2 week Board and Train1 week Puppy Board and Train6 week Pup and Parent Classes3 Week Board and Train

Did someone refer you to Pup Academy ATX?

Full Namephone number

NO REFUNDS - NO CLASS CHANGES AGREEMENT TO HOLD HARMLESS, WAIVER AND ASSUMPTION OF RISK I understand that attendance of a dog obedience training class is not without risk to myself, members of my family or guests who may attend, or my dog, because of some of the dogs to which I will be exposed may be difficult to control and may be the cause of injury even when handled with the greatest amount of care. I hereby waive and release Pup Academy hereinafter referred to as the "Training Organization", its employees, officers, members and agents from any and all liability of any nature, for injury or damage which I or my dog may suffer, including specifically, but without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of such damage or injury while attending any training session, or any other function, of the Training Organization, or while on the training grounds or the surrounding area thereto. In consideration of and as inducement to the acceptance of my application for training membership by this Training Organization, I hereby agree to indemnify and hold harmless this Training Organization, its employees, officers, members and agents from any and all claims, or claims by any member of any family or any other person accompanying me to any training session or function to the Training Organization, or while on the grounds or the surrounding area thereto as a result of any action by any dog, including my own.

Safety Is Priority - ALL DOGS ARE REQUIRED TO WEAR A COLLAR WITH ID TAGS. Trainer and Dog safety always comes first. While training, the safety of the pet and trainer are priority. In the unfortunate event of accident or injury to pet while under the care of trainer, emergency petcare will be provided at Emergency Animal Hospital.

By Clicking The Submit Button You Agree To The Above Terms

Pup Academy Training Registration Form