New Client Registration Form

SISPACK KENNELS & K9

15289 County Rd 9 Berwick, ON K0C1G0

sispackkennelsk9@gmail.com

www.sispackkennelsk9.com

(613) 882-1121

*Please note that pre-payment for any services is now required to hold your booking with us. You will receive confirmation from us once payment has been confirmed.*

We now have a cancellation policy in effect. Only services canceled with 72hrs notice will have their account credited for future services. Please note that cancellations with less than 72hrs notice are considered non-refundable.
Full Name*

First NameLast Name
New Client Registration Form
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
How did you hear about us?*
Please Specify*
ex: enter the name of the current training client to offer them a discount for future services!
Number of Dogs in the Household:*
Note this is the number of dogs in your current household that will be partaking in training. There is no additional cost for additional dogs.
Dog’s Name(s):*
Dog’s Breed(s):*
Dog’s Date of Birth:*

MonthDayYear
Dog 1
Dog’s Date of Birth:

MonthDayYear
Dog 2
Dog’s Date of Birth:

MonthDayYear
Dog 3
Has your dog been medically altered (spayed/neutered)?*

YesNo, not yet, but I plan toNo, and I don’t plan to (any time soon if at all)
If yes, at what age was your dog altered?
Please select all vaccines your dog is currently up to date on:*

RabiesDAP/DA2PPv/DHPPBordetella/Kennel CoughLeptospirosisLyme
Is your dog on a specialty diet? Do they have any food sensitivities and/or restrictions?*

YesNoUnknown
If yes, list all (known and/or suspect) allergens below:
ex: chicken, beef, corn, etc.
Please select any training tools you are currently using:*

Flat CollarHarnessGentle Leader/HaltiChain CollarProng CollarSlipleadEcollar
My dog gets along well with (please select all that apply):*

Other dogsCatsSmall animalsChildrenStrangers
My dog is comfortable with (please select all that apply):*

Being on leashBeing handledBeing groomed (bath, blow dryer, nail trims)Being confined
My dog is (please select all that apply):*

HousetrainedCrate/kennel trainedAnxious when left aloneDestructive when left aloneReactive towards dogs and/or peopleLeash reactiveGuards items/people/furniture/foodAggressive towards dogs and/or people
Do you have more than one dog who will be partaking in training? If so, please list the dog’s name(s), whether they are altered or intact, any food restrictions, and any specific information about them that you think might be helpful to us:
Briefly describe the negative behaviours your dog(s) is/are experiencing/displaying:*
What do you hope a professional trainer can do for you?*
Are you familiar with a balanced training approach?*

YesNo
Are you comfortable with this training methodology?*

Yes, if it’s right for my dog!No, under no circumstances!I don’t know anything about it - I’d love to learn more!
Any questions or comments?
Feel free to include a photo of your dog!

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