The Classy Canine
Intake Form
Owner Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact: (Other than yourself)
*
First Name
Last Name
Emergency Contact Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
What is your dog's name, age, breed, and date of birth?
*
Is your dog spayed or neutered?
*
Yes
No
Which veterinary clinic sees your pet for routine vaccinations?
*
List any medications or supplements and the dose/frequency your pet is taking. Include flea and heartworm preventives.
*
List the brand of food, feeding amount and frequency that you feed your dog.
*
Does your dog have any food or environmental allergies?
*
What are your reasons for contacting a trainer? Please elaborate on the challenges you are facing and the behaviors you want help with.
*
What are your primary goals? Please elaborate on what you would like to achieve with your dog through training.
*
Which services would you like to learn more about? Check all that apply.
Private Lessons
Group Lessons
Board & Train
Boarding
Day Training
Structured Day Training
Select the level of obedience you wish to achieve.
*
On-Leash Home Obedience - around your home and on walks around the neighborhood.
On-Leash Public Obedience - pet friendly venues such as parks, hardware stores, pet stores, patios, etc.
Off-Leash Obedience - Trained like the trainer's dogs, to have reliable on and off-leash obedience in real-world situations.
Do you have a fenced yard?
*
Yes
No
How much time can you dedicate to training each day?
*
0-30 minutes
30-60 minutes
60+ minutes
Where did you get your dog and how old was your dog when you got them?
*
Do you have any other pets in the home? Elaborate on their name, age, and breed.
*
Do you have kids in the home? Please list their ages.
*
Where does your dog sleep?
*
Where is your dog when left unsupervised?
*
Is your dog housebroken?
*
Yes
No
Is your dog kennel trained? How many hours does your dog spend in their kennel each day?
*
Not Kennel Trained
Kennel Trained
Less Than 4 Hours
4-8 Hours
8+ Hours
How frequently do you walk your dog?
*
Every day
1-2 x Week
3-6 x Week
Never
Occasionally
What kind of leash and collar do you use on walks? Check all that apply.
*
Nylon or Leather Leash
Bungee Leash
Flexi Leash
Flat Collar
Slip Leash/Slip Collar
Body Harness
Head Halter
Prong Collar
Martingale or Slip Collar
Check all that your dog is friendly with. Leave blank if unknown.
Men
Women
Kids
Other Dogs
Cats
Livestock
Small Pets (Rabbits, Guinea Pigs, etc.)
Check all that your dog is uncomfortable around, afraid of, or reactive to. Check if unknown.
Men
Women
Kids
Other Dogs
Cats
Livestock
Small Pets (Rabbits, Guinea Pigs, etc.)
Has your dog ever bitten a person or another animal?
*
Yes
No
If yes, please share any additional context that may help us better understand the situation.
Has your dog ever tried to guard people, food, chews, toys, water, or other resources?
*
Yes
No
Is your dog comfortable being handled and tolerant of grooming and exams?
*
Yes
We need to work on it
Is there anything else you think the trainer should know about your lifestyle, your dog's behavior, or any other concerns you have?
We look forward to working with you and your pup! What is your preferred payment method?
*
Venmo
PayPal
Apple Pay
Zelle
Credit/Debit Card
Preferred Contact Method for Evaluation Follow-Up
*
Text
Email
Submit
Should be Empty: