YAY Dog Training Intake Form
Please complete this form to help us understand your dog's needs and provide the best training experience.
Owner's Full Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Dog's Name
*
Dog's Age
*
Dog's Breed
*
Dog's Sex
*
Male
Female
Is your dog spayed or neutered?
*
Yes
No
Is your dog up to date on vaccinations?
*
Yes
No
How long have you had your dog?
*
Where did you get your dog?
*
Breeder
Rescue/Shelter
Friend/Family
Other
Are there any health concerns that could affect training with your dog (allergies, medications, recent illness or surgery)?
Has your dog had any previous training?
*
Yes
No
What are your top 3 goals for training?
*
Does your dog struggle with fear or anxiety?
*
Does your dog have any history of biting?
*
No
Yes, a person
Yes, an animal
Yes, both a person and an animal
What days and times are you generally available for training sessions?
*
How did you hear about us?
Please Select
Google
Social Media
Veterinarian
Friend/Family
Other
Is there anything else you would like us to know about your dog? Or list any additional questions you may have for me.
Submit
Should be Empty: