Annual Client Update
Please complete this quick update so we can keep your dog's records current.
Client Information
Client Name
*
First Name
Last Name
Dog's Name
*
Back
Next
Contact Info Updates
Updated Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Updated Email
example@example.com
New Address (if changed)
Back
Next
Vet Info Updates
Current Vet Clinic
*
Vet Clinic Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Back
Next
Health Updates
Is your dog up to date on vaccinations? (vaccination record is required prior to booking) Required vaccines are DHPP, Rabies & Bordetella.
*
Yes
No
Any new medical conditions/concerns?
*
Any new medications?
*
Any dietary changes?
*
Back
Next
Behaviour Updates
Any new behavioural concerns?
*
Changes in social behaviour with dogs or people?
*
Back
Continue
Continue
Next
Emergency Contact Update
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Back
Next
Service Update
Which services are you currently interested in?
*
Private Training
Puppy Imprinting (for puppies under 6 months old)
Board & Train (for dogs 6 months or older)
Boarding
Daycare / Day Training
Enrichment & Adventure Services
Back
Next
Acknowledgement & Confirmation
*
I confirm that the information above is accurate and agree to the current Canines on Track service policies and liability waiver.
Client Signature
*
Training sessions may occasionally be photographed or recorded (educational purposes, promotional materials, social media, website content)
*
I consent to photos/videos being used for training or promotional purposes
I do not consent
Date Signed
*
-
Month
-
Day
Year
Date
Should be Empty: