Adventure Training Release Form

Adventure Training Release Form
Client Information:
Client's Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Phone Number
Phone Number*
Email*
example@example.com
Have you spoken to one of our trainers?*

BrigitteSarahMichaelaNot yet
Dog Information:
Dog's Name*
Breed*
Age*
Sex/Reproduction Status*

Male, NeuteredFemale, SpayedMale, EntireFemale, Entire
2nd Dog's Name
2nd Dog Breed
Problem Behaviours or Training Issues (if any)
Goals for your dog:
Example: Walk past dogs without barking, loose leading walking, not jumping out of car until released.
How does your dog behave around other dogs?
Example: Excited, fearful, aggressive
Has your dog ever made an attempt to bite another dog or a person?

YesNo
If yes, please provide further details.
Is your dog possessive when it comes to toys or food?

YesNo
If yes, please provide further details.
Has your dog ever been involved in a scuffle with another dog?

YesNo
If yes, please provide further details.
Are there any medical conditions or health concerns related to your dog that we should be aware of?
Has your dog received any training in obedience?

YesNo
If yes, please provide further details as to what and who with.
What does your dog know?

SitDownStayStandRelease an itemLeave itRecallOther
Out of 10, how often does your dog listen to commands?
Any other commands they know? Please include any words you use for the above commands.
Example: Spin, Out-For release a toy, Drop-Lie down
Are they crate trained? (We do crate our dogs for safety in the van)

YesNo
Are they reactive on leash? (Barking at other dogs for example)

Yes, to dogs.Yes, to people.Yes, to objects.No
Out of 10, how good is your dog's recall?
Can you think of any scenarios where they struggle with recall?
Example: When they see people or dogs
Any Food Allergies?
Anything else we should know?
Examples: Triggered by skateboards, doesn't like children, doesn't like men or power tools...
What days would you prefer?

MondayTuesdayWednesdayThursdayFriday
How many times a month would you require our service?

WeeklyFortnightlyCasually
Can we give your dog treats during the day? We use Prime100 and Ziwipeak

YesNo (Please provide your own treats)
Is it okay that your dog goes swimming? (We will towel dry them with a towel provided by you on drop off but may still be damp)

YesNo
Can we upload your dog to our social media?

YesYes, without their nameNo.
How did you hear about us?

GoogleInstagramBernie's Pet BarnAdReferralSeen the vanOther
If referral, who by?
Emergency Contact:
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Phone Number
Veterinarian Information:
Veterinarian Clinic Name and Location
Example: Coastal Veterinary Hospital Bundall
Phone Number
Waiver:
Client's Signature
Date Agreed

MonthDayYear
Date
Should be Empty:

Adventure Training Release Form

Client Information:

Dog Information:

Emergency Contact:

Veterinarian Information:

Waiver: