PUPPY INQUIRY
OWNER INFORMATION
Owner's Name
*
First
Last
(Cell Phone)
*
-
Owner's E-mail
*
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, sex, age, and breed.
DOG INFORMATION
Do you have your puppy yet?
Yes
No
Other
If not, when will you be getting your puppy?
-
Month
-
Day
Year
Date
Dog's Name
Dog's Date of Birth
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
Year
Dog's Breed
Dog's Color
Gender
Male
Female
Male - Neutered
Female - Spayed
Veterinarian
Name
Phone Number
TRAINING INFORMATION
Has your dog had any prior training?
Yes
No
If yes, where has your dog done training (or with whom)?
Dog Gone Smart, Petco, Canine Company, etc.
Describe your pup's behavior toward other dogs on leash.
Has your puppy ever played off leash with other dogs before (Other than litter mates)?
YES
NO
Other
If above answer is yes, please explain your pup'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
Please list your training goals for your pup and prioritize what you would like us to teach them (Please understand that their length of stay will determine how much we can accomplish)
What commands does your puppy know? Please include "potty" words.
MEDICAL INFORMATION
Does your puppy have any food allergies? If yes, please list ALL FOOD allergies.
Does your puppy have any medical conditions or is on any medications? If so, what is the diagnosis?
BEHAVIORAL INFORMATION
Is your puppy crate trained?
How is your puppy in a crate?
What are you interested in?
Pre-Puppy Private Lesson
Private Lesson with Puppy
Puppy Playtimes
Puppy Class
Puppy Swims
Puppy Daycare Program
Puppy Board and Train Program
Anything else we should know about your puppy?
Submit
Clear Form
Print Form
DOG GONE SMART
15 Cross Street, Norwalk, CT 06851
Phone 203-838-7729
Fax 203-838-7763
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