Intake Form
A little info to know you and your pup!
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Please list your preferred method of contact.
Text or Email
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Dog’s Name, Age, Gender, and Breed
Where and when did you obtain your dog?
Where does your dog sleep?
Where is your dog kept when you are away?
Potty trained?
Yes
No
Crate trained?
Yes
No
Was your dog rescued/adopted? If yes, please describe what you know about their history.
What corrections have you tried before?
Slip Lead
Prong/Pinch or Choke Chain
E-Collar or Shock Collar
Verbal or Physical
Other
What is your dog’s favorite reward?
Food
Toys
Praise
Has your dog ever bitten you, someone you know, or an animal? If yes, please describe.
Describe 3 things you wish your dog WOULD do.
Describe 3 things you wish your dog would NOT do.
Has your dog ever done any of the following?
Jumping on people
Mouthing others
Darting out of the door
Stealing food or trash
Potties in the house
Chews on foreign objects
Anxious when alone
Destructive when alone
Bites family
Bites strangers
Growls at other people or dogs
What veterinarian does your dog see? Please be doctor specific as well.
Is your dog on any current medications?
Does your dog have any health concerns? Does your dog have a history of a prior health issue?
How did you hear about us?
ALL dogs are required to have an updated Rabies vaccination. Distemper and Bordetella are also highly recommended due to having lessons outside on occasion, but they are not mandated. Please upload your dog’s proof of vaccination.
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