Training Intake Form
Thank you for considering our training services. Please complete the following intake form and we will be in touch shortly to arrange your services.
Owner Contact Information
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact (name and relationship)
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
How did you hear about us?
Dog's Information
Which service are you interested in?
Please Select
Walk & Train
Private Training - Puppy Foundations
Private Training - The Essentials
Private Training - Beyond the Basics
Post-Adoption Support
Private Training - Customized
Dog's Name
Dog's Age
Breed or Mix (if known)
Where did you get your dog? Please include the name of the rescue or breeder where applicable.
How long have you had your dog?
Behaviour and Training History
Please check off any behaviour concerns that you are currently experiencing
Aggression (please detail below)
Jumping on people
Nipping, mouthing or puppy biting
House soiling
Resource guarding
Fearful (please detail below)
Pulling on leash
Reactive to dogs (please detail below)
Reactive to people or stranger danger (please detail below)
Reactive to children (please detail below)
Lacking manners
Separation related concerns (i.e. excessive vocalization or destructive behaviours when left alone)
Please add any additional details regarding these behaviour concerns:
Which behaviour concerns would you most like to focus on during your sessions?
Have you completed any prior formal training with your dog? If yes where or with whom?
What tricks is your dog great at?
What skills does your dog need some improvement on?
How does your dog typically greet an unfamiliar person entering your home?
Has your dog ever bit a human or another animal resulting in at least one puncture? If yes, please detail the circumstances surrounding the bite.
Medical History
Veterinarian or Clinic Name
Is your dog up to date on all core vaccines including rabies?
Does your dog have any current medical concerns?
Is your dog currently taking any behavioural medications? If yes which one(s)?
Does your dog have any allergies or food restrictions?
Submit
Should be Empty: