Bark Trek Crew or Cadet Enrollment From

BARK TREK

CREW OR CADET CAMP ENROLLMENT FORM
Owner Name:*
Date:*

MonthDayYear
Date
Address:*
Postal (zip) code:*
Email:*
example@example.com
Cell:*
Home:*
Additional Contact:*
Veterinarian's Name / Clinic:*
Clinic phone:*

Area CodePhone Number
Clinic address:*
How did you hear about our service?*
Pet's name:*
Pet's date of birth:*

MonthDayYear
Date
Weight:*
Age altered:*
Breed:*
Color:*
Age obtained:*
Where did you obtain this pet?*
Breeder: (if applicable)*
Describe previous home/homes: (if known)*
How was your dog's behavior with other dogs described when you obtained them?*
Describe how your dog feels about other dogs in their space:*
Briefly describe your dog's personality and hiking style (e.g., exploratory, mellow, excitable, bold):*
Has your dog ever bared teeth towards or growled at a human?*

YesNo
If yes, describe the scenario.*
Has your dog ever had an aggressive encounter based out of fear, frustration, or being attacked?*

YesNo
If yes, please describe the encounter and the appearance of dog that your dog might have a fearful response to:*
How often do you and your dogs go on trail walks or hikes? On or off leash.*
On a scale from 1 10, rate how solid you feel your dog's off leash recall is when there are.
No distractions present:*
Familiar dogs present:*
Unfamiliar dogs present:*
Familiar people present:*
Unfamiliar people present:*
Familiar location:*
Unfamiliar location:*
Wildlife / livestock present:*
Does your dog have yard access?*

YesNo
If no, describe potty time:*
Do you do treat training?*

YesNo
Type of treats?*
How often do you give treats?*
When do you give treats?*
Is someone usually home with the dog, are they put up in a crate, or free roaming?*
List all other pets, including species, breed, age, and sex:*
Describe how your pets get along with each other:*
List each family member living in the home (include sex and age of children):*
Type of exercise/play during the week:*
How often/how long/where at?*
How does your dog do in the car?*
Does your dog regularly attend the dog park, dog daycares, or board at a kennel?*
Does your dog have any known guarding behaviors around high value items, such as but not limited to: One or both parents, bones, food, sticks, treats, toys, etc.*
Does your dog have separtion anxiety or stranger danger?*

Separation anxietyStranger Danger
Have you ever used a crate for confinement?*

YesNo
If yes, describe crate(s) and location:*
Describe the dog's reaction to being crated:*
Do you still use a crate?*

YesNo
Briefly describe the usual daily schedule for your dog:*
What phrases do you use for the next few scenarios? Leave blank if identical.
Kennel*
Drop it*
Sit*
Recall*
Lay down*
Off / No Jumping*
Stay*
Leave it*
Have you noticed any deficits in your pet's senses?*

YesNo
If yes, please describe:
Has your veterinarian recommended low activity for your dog?

YesNo
Is your pet on flea prevention? If yes, what kind?
Is your pet up to date on their shots?

YesNoI have to check
Has your dog had a negative fecal test in the last 12mo?
Describe your dog's bowel movements:

NormalConstipationLess frequentMore frequentSoft/Diarrhea
Describe your dog's urinating patterns:

NormalInfrequentMore frequentExcessive marking
Does your pet have normal eating and bowel movements?

YesNo
If no, describe
Does your pet have any other medical problems?

YesNo
If yes, describe:
Is your pet presently on any medication?

YesNo
If yes, describe (include name, dosage, duration)
Has your pet had any laboratory tests (blood, urine, X rays, etc.)? Y / N If yes, indicate any abnormal findings
TRAINING QUESTIONS
Something that your dog does that you don't like, if applicable
Jumps up on owners:

YesNo
Jumps up on strangers:

YesNo
Won't come when called:

YesNo
Nips/grabs with mouth:

YesNo
Listens on their terms:

YesNo
Pushy/barking/demanding

YesNo
Do you feel as though your dog needs to do a few training hikes before being a solid off-leash Bark Trek Crew Member of Cadet? If yes, please describe how much training time you think your dog would need. If no, type no.
Please list any additional information you would like us to know about your pet:
Should be Empty:

BARK TREK

TRAINING QUESTIONS