Training Form

Form
Please complete this form to get started with Michigan Mutt Dog Training! If you are registering more than one dog, please complete a separate form for each dog. Thank you!
*WE REQUIRE EVERY DOG WHO TRAINS WITH US TO HAVE VACCINATION RECORDS. Your dog must be up-to-date on the following vaccinations: Rabies, Bordetella, Distemper, Canine Influenza & a Fecal Float test 30 days before dropping off (to test for parasites). We also ask that your dog is familiar and comfortable being in a crate.
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Best way to contact you?

EmailTextCall
How did you hear about us?*

InstagramFriendFacebookWebsearchOther
Do you currently follow MMDT on Instagram or on Facebook (@michiganmutt.dogtraining)
If you do not, please head over to Instagram or Facebook to stay up to date on your dogs training progress

Yes, I have an Instagram.No, I don't have one
If you found us through Instagram, what's your handle?
What type of home do you live in?*

Single FamilyApartmentDuplexCondo
How many adults live in the home with the dog?*
How many children live in the home with the dog? What are their ages?*
What other pets live in your home (species/age/sex)?*
Dog's Name*
Dog's breed, sex, age and weight *
Dog's origin (breeder/shelter/other) *
Is your dog fixed?*

YesNo
How long has your dog been in the family?*
Veterinarian's Name*
Veterinarian's Phone Number*
Please enter a valid phone number.
Is you dog on any medication?*

YesNo
If yes, please list: medication, dose and time of day given
Does you dog have any allergies*

YesNo
If yes, please list allergies here. Also, list any other important medical information we should know about.
What type of food does your dog eat and what is your feeding schedule? *
Which training program are you interested in?*

Puppy program2 week program3 week programPrivate lessons
WHY do you think you & your dog would be a good fit for MMDT's training program & why are you seeking training for your dog?*
Has your dog had any prior training? If yes, please explain:*
Is your dog crate trained?*

YesNo
Does you dog have any accidents in the crate?*

YesNo
Does your dog sleep in your bed?*

YesNo
Does your dog sleep in a kennel?*

YesNo
Will you be comfortable following MMDTs recommendation of crating/kenneling your dog, at night & when you're not home, when they return home from training?*

YesNo
Does your dog interact well with children?*

YesNo
Does your dog interact well with other pets?*

YesNo
Is your dog aggressive when people approach his/her food?*

YesNo
Is your dog aggressive when people try to take his/her toy away?*

YesNo
Has your dog ever bitten another person/animal?*

YesNo
If MMDT requires you to muzzle condition your dog prior to training are you open to this?*

YesNo
Do you have anything to add about your dog's behaviors? If your dog exhibits any aggressive behavior, please provide details regarding his/her behavior.
Do you have anything to add about your dog's behaviors? If your dog exhibits any aggressive behavior, please provide details regarding his/her behavior.*

Not housebrokenHas to be muzzled at the vetDoes not do well with groomingWhines & barks in crate/kennelOveractive/HyperMounts objects/peoplePlay bitesChews destructivelyDigs in yardIs shyJumps on peopleGrowls at peopleAggressive towards dogsNuisance barker/whinerUrinates when excited/scaredGuards toys/food/space/peopleSniffs or eats from counter topsDoesn't come when calledBolts through open doorsStresses easilyPulls on leashJumps on furnitureHas separation anxietyHas bitten an animal/human
How have you tried to stop any of your dog's unwanted behaviors?*
please describe
Which command words does your dog follow at least 90% of the time?*
What do you hope to accomplish with your dog during training? What are the most important things we can teach your dog to help you enjoy your pet to the maximum?*
Photo/Video Release I hereby assign and grant to Michigan Mutt Dog Training the right and permission to use, reproduce, distribute, and publish the photograph(s), film(s), videotape(s), audio and video recording(s), electronic representation(s) and/or sound recording(s) made of me and/or my dog(s) at any time during the training and/or boarding of my dog(s) by Michigan Mutt Dog Training and I hereby release Michigan Mutt Dog Training from any and all liability resulting from such use, reproduction, distribution, and publication. Please write your name and initials, indicating that you have read these terms and Agree to this Photo/Video release Agreement. *
I am familiar with Michigan Mutt Dog training methods (Prong Collars, Slip Leads, E-Collars, etc.), techniques, programs, and prices. If not, please be sure to check out our SERVICES/RATES, and SOCIAL MEDIA.*

Yes
I am aware that the Board & Train program is a head-start to all the continued work my dog & I will have when they return home. Dog training is a lifestyle, not a quick fix and I understand this is a team effort. I will embrace the changes needed to be made at home for my dog & I to be successful, long term.*

Absolutely!I'm too busy to work with my dog.
I am aware that there is a non-refundable deposit of $250 that must be paid in order to hold your spot and the remaining balance must be paid by the start date.

Yes, I understand
I am aware there is a 50 cent per mile travel fee for private lessons if I need to travel to your home.

I understand
Payment can be made through Venmo (Nikki-Gauthier-2) or cashiers check
Should be Empty:

Form

Payment can be made through Venmo (Nikki-Gauthier-2) or cashiers check