Owner Information
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Preferred method of contact (email/call/text)
Are there other people living in the home or who will engage with the dog frequently? If so, please note them down below (and their ages if under 18).
*
Are there other animals in the house? If yes, please list down below.
*
How did you hear about Edit Dog Training?
Which program are you most interested in?
Board and Train
Day Camp
Private Lesson
I'd like info on all of them
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Dog Information
Dog's Name
*
Dog's Breed
*
Dog's Age
*
Dog's Weight
*
Dog's Gender
*
Male
Female
Where did you get your dog? (Shelter, breeder, etc.)
*
When did you get your dog?
*
We would love to see a photo of your dog, if you have one!
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Please list what brand/kind of food your dog is eating, how much food, and their eating schedule.
*
Does your dog receive other treats/chews? If yes, what and how frequently do they get them?
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Veterinary Care & Information
Veterinarian's Name
*
Veterinarian's Phone Number
*
Please enter a valid phone number.
Has your dog received a clean bill of health by your veterinarian in the last 6 months?
*
Yes
No
Is your dog on any medication?
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Yes
No
If yes, please list the medication, reason for medication, dosage, and time of day given:
By checking this box, you give permission to Edit Dog Training, LLC to administer the medication to your dog as described above.
*
I give permission to Edit Dog Training, LLC to administer the medication to my dog.
Does your dog have any health or medical concerns (including allergies)?
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Yes
No
If yes, please explain:
Are there any other health concerns, including history, we should know about? Please describe.
We require every dog who stays with us to have current vaccination records. Please upload your dog's latest vaccination records. Dogs MUST be up to date on Bordetella, Rabies, Distemper, and a clear fecal panel (for common parasites). You may also provide records upon booking
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Training Information
Why are you seeking training for your dog? Please include any behavioral issues you are experiencing. When did the issues start, and what is your biggest concern?
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What are your top three training goals for your dog?
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Have you worked with other trainers in the past for these issues? What tools/methods were used, and was it successful? Please explain.
*
Is your dog crates trained (calm, quiet, and relaxed while in the crate)?
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Yes
No
Is your dog house trained? If not, please describe their potty issues (potties in private in house, marking in the house, incontinence, use pee pads, etc.)
*
Where does your dog go when you leave the house?
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In their crate
Contained in a room
Have access to whole house
Other
Where does your dog sleep at night?
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In their crate
In my bed
Somewhere else in the house
Other
On an average day, how much (and what kind) of exercise does your dog get?
*
Describe how your dog walks on a leash, and what type of equipment you use (retractable leash, harness, type of collar, etc.)
*
What motivates your dog?
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Food
Toys
Verbal Praise
Receiving pets
Toys
Other
Does your dog exhibit any of the following problem behaviors? (check all that apply)
*
Jumping
Excessive barking
Destroys belongings
Mouthing
Steals food
Counter surfing
Jumps fences
High prêt drive (chases squirrels, cats or other small animals, etc.)
Pulls on walks
Potties in the house
Digs in yard
Other
If you checked any of the above behavior problems, please describe each of them in detail:
Does your dog experience separation anxiety? If so, please describe.
*
Does your dog guard items such as food, toys, preferred resting spots, or people? If so, please describe.
*
Describe your dog's behavior around children.
*
Describe your dog's behavior around other dogs.
*
Has your dog ever bitten a person or animal?
*
Yes
No
I don't know their full history/adopted
If yes, please describe what happened.
When meeting a NEW DOG, your dog...
*
Acts friendly
Cautiously approaches
Lunges/barks/growls
Tries to bite
Is reserved/tries to hide
Seems stressed/drools/pants
When meeting a NEW PERSON, your dog...
*
Acts friendly
Cautiously approaches
Lunges/barks/growls
Tries to bite
Is reserved/tries to hide
Friendly, but jumps
What best describes your dog?
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Very independent
Bonded to me
Confident
Fearful of new people
Fearful of new dogs
Name 3 things you like about your dog:
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Name 3 things you don't like about your dog:
*
Is there anything else you would like for us to know about your dog?
Emergency Contact
Please list at least one emergency contact. In the unlikely event where there is an emergency and we can't get in contact with you, this is a person you give permission to to make make medical decisions for your dog (that may also have financial obligations that you are solely responsible for) on your behalf.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Will you be comfortable following the trainer's recommendations following the completing of your dog's training program? This includes, but not limited to, using a crate/kennel, the use of commands & tools, etc.
*
Yes
No
I understand and am familiar with Edit Dog Training's training methods, and use of tools, such as slip leads, prong collars, e-collars, crates, etc. If not, please refer back to our FAQ page and social media accounts.
*
I understand
I understand that the programs offered by Edit Dog training are not a "quick fix" for my dog's behavioral issues. It is my responsibility to follow through with the training, once my dog comes home. I understand that this is a lifestyle change, and will be an ongoing journey.
*
I understand
Please acknowledge the statement below.
*
I attest that I am of legal age, the legal owner of the dog listed on this form, and to the best of my knowledge all information in the above for is accurate and complete.
Signature
Please verify that you are human
*
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