Dog Training Intake
Dog training intake form for new clients of Grant O Pet Services
Client Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Pronouns
Please enter your pronouns (they, she, he, etc.)
Home Address (Can be left blank if seeking virtual services or wish to provide later):
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Preferred Contact Method:
*
Text
Email
Other
Would you like to receive text and/or email reminders for our training sessions?
*
Text
Email
Both!
No Reminders Please
Would you feel comfortable allowing my training apprentice to shadow and/or assist with our training sessions?
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Yes
No
Maybe/unsure
Are you looking for virtual, in-person, individual, or group training?
*
Virtual
In-person
Individual
Group
Open to any/No preferences/Unsure
Dog Information
Name(s)
*
Please list name(s) of pets that need training
Birth Date (estimate if unknown)
*
-
Month
-
Day
Year
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Weight
*
Breed
*
Please enter "mixed or unknown" if not sure
Sex
*
Male (Neutered)
Female (Spayed)
Male (Intact)
Female (Intact)
Is your dog vaccinated for rabies?
*
Yes
No
Household information
Names, Ages, and Pronouns of Humans in the Household
*
Please list all people living in the household, people frequently present overnight, and anyone else involved in your dog's care.
Other Animals in Household
*
Please list name, species, age, sex, and any other relevant information.
Select all that apply to your household:
*
Single family home
Apartment
Town home
Mobile home
Unhoused/temporary housing situation
Other home type
Fenced yard
Unfenced yard
No yard
Nearby green space of any kind
Nearby park
Busy street - lots of foot traffic or cars
Quiet home environment
Noisy home environment
Unpredictable household schedule
Children in home
Other animals in home
Dog friendly neighborhood
City environment
Do you drive/have access to reliable transportation?
*
Training Info
Areas of interest/problem behaviors:
*
Beginner obedience (foundations and basic cues - sit, down, stay, loose leash walking, etc.)
Manners (jumping, play biting, impolite greetings)
Puppy training (dog under 1 year; manners, socialization, house breaking, beginner obedience)
Reactivity - dogs
Reactivity - people
Reactivity - other
House breaking - Adult dog
Canine good citizen prep
Therapy dog preparation
Crate training
Advanced obedience (complex cues and off-leash work)
Trick training
Agility training
Socialization - Adult dog
Enrichment and quality of life improvement
Excessive barking or other vocalizations
Resource guarding (biting or growling to protect food, toys, space, or people)
Separation anxiety
Chewing or other destruction
Mounting/humping
Biting - other than play
Unknown - general training interest
Other - I have a specific behavioral problem not listed here!
Has your dog ever bitten or attempted to bite a person, in a way that did not seem playful, while under your care?
*
Yes
No
Primary reason for seeking dog training services?
*
Where did you obtain your dog?
*
Name of rescue, shelter, breeder, etc.
When did you obtain your dog? (Estimate okay if exact date not known)
*
-
Month
-
Day
Year
Date Picker Icon
Briefly describe your dog's personality:
*
Describe your dog's daily exercise and enrichment routine:
*
Does your dog have any previous training?
*
Yes
No
Unknown
Select all that apply for previous training experience:
*
Training with current owner at home
Training with a previous owner at home
Training with a foster, shelter, or rescue organization
Individual sessions with a certified trainer, with current owner
Individual sessions with a certified trainer, with past owner
Group sessions with a certified trainer, with current owner
Group sessions with certified trainer, with past owner
Sessions of any kind with an uncertified trainer
Other type of training
No previous training
Please list all known cues here:
*
Cue = Word or gesture that signals the dog to perform a specific behavior. Traditionally referred to as "commands." (Sit, down, stay, come, drop it, leave it, etc.)
Is your dog crate trained?
*
Yes
No
In training process
No, but I'm interested
What equipment do you use for going on walks? (Select all that apply, even if not used every walk)
*
Leash 6 ft
Leash under 6 ft
Leash over 6 ft
No leash (please select this option if you ever let your dog off leash in unfenced areas)
Body harness - back clip
Body harness - front clip
Regular flat collar
Martingale collar
Slip lead
Prong collar - plastic
Prong collar - metal
Vibrating collar
E-collar (also referred to as shock collar)
Slip chain (commonly call choke chain/collar)
I don't know!
Other
Select all that apply to your experiences with walking your dog:
Gentle on leash, easy to walk
Pulls on leash
Type option 4
Approximate date of last vet visit:
*
-
Month
-
Day
Year
Date Picker Icon
Does your dog have any known medical concerns? Do they take any medications?
*
Does your dog have any food allergies/sensitivities? Please list.
*
What is your least favorite thing about your dog or their behavior?
*
What is your FAVORITE thing about your dog?
*
How did you hear about Grant O Pet Services?
Search engine
Facebook
Family or friend referral
Social media (other)
Other
Reactivity/Socialization Questions
Please answer if requested, or you feel it is applicable for your training interests.
How does your dog typically react to seeing other dogs?
Select all that apply when your dog sees another dog:
Pulling towards dog
Lunging towards dog
Running away
Hiding
Whining
Barking
Growling
Other vocalization
Hackles raised
Showing teeth/snarling
Ears forward
Ears back
Wagging tail
Stiff tail
Tucked tail
Body loose and wiggly
Body stiff or otherwise tense
Jumping (on person or dog)
Other jumping
Appears playful
Biting or attempting to bite handler
Biting or attempting to bite other dog
Other bite attempts
Other undesirable behaviors
Is the reaction different off leash? If so, how is it different?
Is the reaction different through a barrier like a window or a fence? If so, how is it different?
Has your dog ever bitten or attempted to bite another dog, in a way that did not seem playful, while under your care?
Yes
No
Is your dog muzzle trained?
Yes
No
In training process
No, but I'm interested
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LIABILITY RELEASE AND WAIVER AGREEMENT [Maryland Jurisdiction]
GRANT O PET SERVICES
Waiver of Liability
This Liability Waiver and Release Agreement (“Agreement”) is entered into by the undersigned (“Client” or “Releasing Party”) in consideration for training and related services provided by Grant O Pet Services (“GOPS”), and employees or independent contractor trainers working with GOPS.
By signing this Agreement, you acknowledge and agree to the following:
YOU UNDERSTAND THAT PARTICIPATING IN DOG TRAINING, CONSULTING, OR HANDLING INVOLVES RISK OF INJURY TO YOURSELF, YOUR DOG(S), OTHER PEOPLE, OTHER DOGS, AND PROPERTY. YOU AGREE TO ASSUME FULL RESPONSIBILITY FOR ANY AND ALL RISKS, WHETHER FORESEEN OR UNFORESEEN. You voluntarily release, waive, and forever discharge Grant O Pet Services, its owners, employees, independent contractors, agents, successors, and assigns (collectively, the “Released Parties”) from any and all claims, liabilities, demands, damages, losses, or causes of action whatsoever arising out of or related to any injury, damage, or loss to person(s), dog(s), or property caused by your dog or occurring during any training or related activity. *IF YOUR DOG INJURES ANOTHER DOG OR PERSON, YOU WILL BE SOLELY RESPONSIBLE FOR SUCH INJURY, AND YOU AGREE TO INDEMNIFY, DEFEND, AND HOLD THE RELEASED PARTIES HARMLESS FROM ANY LIABILITY, CLAIM, DAMAGE, OR LOSS ARISING OUT OF OR RELATING TO SUCH INCIDENTS.*
Initials
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Payment Arrangement Policies
Payment or deposit must be made in full on or before the first scheduled session, unless previously agreed upon in writing. Payment details including specific rates, payment plan options, sliding scale fees, and package rates will be discussed in first contact ("Meet & Greet") via phone or video, and detailed in writing via email follow up.
Initials
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Client Behavior Expectations
If your dog is ill or unwell, you must notify GOPS and/or your trainer in advance. If you are feeling ill or unwell, you must notify GOPS and/or your trainer in advance. Dogs must remain on leash during training sessions outdoors unless explicitly agreed upon otherwise. Clients are expected to abide by the leash laws for their area when taking their dog in public. You are responsible for cleaning up after your dog. Children under 12 may attend only with adult supervision, due to safety risks and distraction potential. Clients must adhere to all CDC and local/state health guidelines, including those related to COVID-19. Clients are expected to treat their dog and their trainer with respect and kindness, and follow trainer recommendations (especially those related to safety) to the best of their ability.
Initials
*
Refund Policy
You may receive a full refund for cancellations made at least 24 hours before the scheduled session begins; refunds are only available for FULL service cancellation - partial refunds will not be issued for uncompleted training packages. Refunds are not issued on the basis of training failure or success. Please review the available program details, testimonials, service descriptions, and resources carefully before agreeing purchase. All refund requests must be submitted in writing to: grantovoigt@gmail.com
Initials
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Additional Acknowledgements
By signing this Agreement, you certify that your dog is current on vaccinations and is in good health - unless otherwise disclosed in writing during intake. You further understand that no guarantees of training outcomes have been made and that success depends on various factors, including your continued involvement and the individual characteristics of your dog. You agree that this Agreement represents the entire understanding between the parties and supersedes all prior written or oral agreements. This Agreement may be updated or amended by GOPS at any time, and your continued participation will be deemed acceptance of any such amendments. This Agreement shall be governed by the laws of the State of Maryland, and any disputes shall be resolved in the state or federal courts located in Baltimore City, Maryland.
Initials
*
SIGNATURES
By signing below, you affirm that you have read and understand this Agreement in full, have had the opportunity to discuss its terms with GOPS, and agree to be legally bound by its terms.
Client Name:
First Name
Last Name
Dog Name(s):
Client Signature
*
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