New Client Registration

New Client Registration

Please fill out the form below to register as a new training client.
Client Information
Your Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Home Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
NoYes
Additional Owner's Name*

First NameLast Name
Additonal Email Address*
example@example.com
Additional Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
How did you hear about us?
YesNo

Health & Behavior

Please answer the following questions on behalf of all of the dogs in your household.
Upload Vaccination Records (include vaccination records for all the dogs in your household) *

Cancelof
Vaccination Policies

Puppies under 6 months: Must be up-to-date on age-appropriate vaccinations, and have had at least their first round of Distemper/Parvovirus vaccines in order to enroll in any of our puppy socialization programs. We do not require puppies to have Rabies until they have reached 6 months old.

Dogs over 6 months: Must be up-to-date on Distemper, Parvovirus, and Rabies vaccinations.

Please Note:

Distemper and Parvovirus are often given as combination vaccinations, which may appear as "DHLPP" or "DHPP" on your dog's vaccination records. If you're not sure if your pup has the required vaccinations, just send us an email after submitting this form.
YesNo
Please list your dog's food allergies, sensitivities, or intolerances and how they affect your dog. (IE: "cannot have chicken, breaks out in hives" or " No beef, results in loose stools")
If you have multiple dogs, please list their dietary restrictions, alleriges, or intolerance details here as well.
YesNo
Please describe the medication conditions/reason for the above medications. IE, Arthritis, heart murmur, environmental allergies, internal parasites, anti-anxiety medications, etc.
If you have multiple dogs, please list their health details here as well.
YesNo
Which trainer or training company did you use?*
What was the focus of your dog's previous training? Did you have private lessons, attend group classes, or enroll in a day-training or board and train-style program?*
If you have multiple dogs, please list their previous training details here as well.
How can we help you and your dog(s)? *
By signing below, you confirm that all information provided is accurate and that you accept the terms, policies, and risks associated with services provided by Beyond The Bark LLC.*

Clear
Registration & Service Agreement Date/Time

MonthDayYear
Date
Hour MinutesAM/PM Option
Should be Empty:

New Client Registration

Client Information

Dog Information

Health & Behavior