Registration Form

Registration Form

Fill out all fields, if they don’t apply to your dog please write in “N/A”
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.Format: (000) 000-0000.
Dogs Name
Dog Breed/Age
Estimate is okay
Sex:
Has your dog ever displayed any form of aggressive behavior? If so, please describe the situation(s). Please include any history of bites or attempted bites on humans or dogs. If this has never been an issue, please write “N/A”
PLEASE NOTE: Any undisclosed aggressive behavior may result in additional fees/or termination of contract. Please be as specific as possible for the safety of our trainer and staff.
Does your dog seem fearful or anxious in any situations or environments? Please include what the reaction looks like and how you handle the situations.
Please describe any other behavior issues/concerns you have experienced with your dog. If none, write “N/A”
Please list some things your dog likes. What makes them happy?
How many walks does your dog typically get each day? (Duration/Distance) Please include all mental enrichment as well
Does your dog participate in any activities or sports? If so please elaborate.
(Ex: Dock diving, Agility, Herding)
Is your dog housebroken?
Has your dog ever had prior training? Please include where they went and when? What did they learn?
Please describe how your dog behaves around other dogs. Please include how your dog acts around other dogs when on a leash.
Is your dog crate trained and comfortable being crated?
Who resides in the home. Please check all that apply
Please describe how your dog behaves around children. Please include how your dog behaves when seeing children running/screaming? If your dog has no experience please write “N/A”
Where does your dog spend time during the day?
Where does your dog sleep?
Is there anything else you feel is important for us to know?
Do you have any specific training goals for your dog?
Signature
Should be Empty: