Training Bootcamp Consultation Request

TRAINING BOOTCAMP REQUEST

THIS IS ONLY A REQUEST; A DOG GONE SMART REPRESENTATIVE WILL CONTACT YOU SHORTLY.
OWNER INFORMATION
Owner's Name*

First Last
(Cell Phone)*
Owner's E-mail*
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
How many adults over 18 live in the household?*
How many children live in the household? Please list age(s).
Do you have any other animals in the house? Please list type, gender, age, and breed.
Is this dog new to your family?

YesNo
Is this for a new puppy?

YesNo
DOG INFORMATION
Dog's Name*
Dog's Date of Birth

Month Day Year
Dog's Breed*
Dog's Color*
Gender*

MaleFemaleMale - NeuteredFemale - Spayed
Desired Date to Begin Boarding

MonthDay Year
DateHour Minutes AM/PM Option
Desired Date to End Boarding

MonthDay Year
DateHour Minutes AM/PM Option
TRAINING INFORMATION
I am looking to do:

Day Care TrainingBoard & TrainPuppy Program Day CarePuppy Program Board & TrainSocialization in Day CareSocialization while BoardingPrivate Instruction/Virtual Lessons
What are you interested in?*

Obedience and MannersBehavioral issuesSocialization
Has your dog had any prior training?*

YesNo
If yes, where has your dog done training (or with whom)?
Dog Gone Smart, Petco, Canine Company, etc.
Please List Your Training Goals For Your Dog and Prioritize What you would Like Us to Teach Them (Please understand that their length of stay will determine how much we can accomplish)*
Describe your dog's behavior toward other dogs on leash
Has your Dog Ever Played Off Leash With Other Dogs Before?

YESNO
If Above answer is Yes, please explain your dog's behavior while off leash playing with other dogs and in what settings
Please List all Types of Leashes, Collars, Harnesses you currently use with your dog*
What commands does your dog know? Please include "potty" words.
What is your dog's release word?
Free dog
MEDICAL INFORMATION
Who is your Vet?*
Does your dog have any food allergies? If yes, please list ALL FOOD allergies.
Does your dog have any medical conditions or is on any medications? If so, what is the diagnosis?
BEHAVIORAL INFORMATION
Has your dog ever bitten? If yes, please explain.
If above answer is yes, please elaborate on the trigger(s) if known, and the circumstances of any incidents.
If your dog is aggressive/reactive, who is it directed at? Select all that apply.

PeopleDogs
How is your dog in a crate?
Is your dog motivated by food?
Anything else we should know about your dog?
Thank you for your interest in training your dog in our Dog Gone Smart Board and Train Program! We will work hard to prioritize your training goals and set your dog up for success. A member of our team will reach out to you to do a consult/confirmation of your request. Feel free to contact our Training Director jaimee@doggonesmart.com if you need further assistance.
DOG GONE SMART

15 Cross Street, Norwalk, CT 06851

Phone 203-838-7729

Fax 203-838-7763
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TRAINING BOOTCAMP REQUEST

OWNER INFORMATION

DOG INFORMATION

TRAINING INFORMATION

MEDICAL INFORMATION

BEHAVIORAL INFORMATION