Pup Academy Pre-Consultation Form

Pup Academy Pre-Consultation Form

Thank you for your interest in our Pup Academy Program. Complete this form in its entirety to the best of your ability and our trainer Reggie will contact you as soon as possible for a consultation. Please be as detailed as possible in your responses to help expedite your request. You must complete a separate form for each individual pup. The information provided in this form will be kept confidential and solely utilized to enhance the well-being of your pup during their stay with us.
Yes
How did you hear about us?*
Desired start date*

MonthDayYear
MondaysTuesdaysWedensdaysThursdaysFridaysSaturdays
11:00 am11:30 am12:00 pm12:30 pm
Basic ObedienceBehavior ModificationPuppy TrainingBoard and Train
Pet Parent's Information
First and Last Name*
Email*
Phone Number
Format: (000) 000-0000.
Emergency Contact
First and Last Name*
Email*
Phone Number
Format: (000) 000-0000.
Relationship*
Pup's General Information
Name*
Birthday*
Age*
Weight*
Breed*
MaleFemale
Please upload a recent photo of your pup*

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How long have you had your pup?*
ShelterRescue Group/CenterBreederFamily/FriendOther
YesNo
Pup's Health
Pup's Veterinarian*
Phone Number*
Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please upload proof of all vaccinations*

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Please list any medication(s) your pup is currently using. This includes any heartworm preventative.
Does your pup have any medical conditions or dietary restrictions that need to be considered during the training program?*
Pup's Questionnaire
YesNo
YesNo
SitStayComeHeelNo/StopDownJump/UpRolloverPaw/Handshake/High FiveKissesOtherNone
Separation anxietyLeash aggressiveAfraid of thunder stormsConsistent and persistent barkerShedderChewerFood watcher/beggerUrinates when scared/excitedHowler/WhinerFood aggresiveToy aggresiveJumperOtherNone
Where does your pup usually sleep at home?*
Describe your pup's personality and temperament*
What is your pup’s current level of obedience training?*
Have you tried any training methods or techniques with your pup in the past? If so, what were the results?*
How does your pup interact with family members and other pups at home?*
How does your pup react to new environments, people, and other pups outside of the home?*
How do you typically handle behavioral issues or disobedience with your pup?*
Is your pup reactive to certain stimuli? Such as noises, other animals, or specific environments?*
What is your pup’s daily exercise routine? Please include frequency, duration, and the types of activities.*
What is your pup’s daily meal routine? Please include exact amount and frequency.*
Has your pup ever bitten a person or another dog? If yes, please describe the situation and injuries if applicable.*
What specific behaviors or issues would you like addressed during the training program? Are there any specific commands or skills you would like your pup to learn?*
What are your expectations regarding the outcome of the training program? Are there any specific goals or behaviors you would like your pup to achieve by the end of the program?*
How much time are you willing to dedicate to reinforcing the training once your pup returns home?*
Is there anything else you would like us to know about your pup?*
Photo and Video Release
Yes, I would like to be added to the newsletter listNo, I do not want to be added to the newsletter list
Yes, I agree and would like to receive photo/video updates during my pup's stayNo, I do not agree and would not like to receive photo/video updates during my pup's stay
Type your name*
Signature*
Today's Date*

MonthDayYear
We thank you for entrusting the care of your pup with Pups 'N US.

Please note that completing this form is not an official acceptance into our training program. You must complete a consultation with our trainer Reggie before your pup can be accepted and start the program.
Should be Empty:

Pup Academy Pre-Consultation Form

Pet Parent's Information

Emergency Contact

Pup's General Information

Pup's Health

Pup's Questionnaire

Photo and Video Release