Pawsitive Play Dog Training Enrollment

Consultation and private training appointments fill up quickly. 
The following form will provide helpful information about you and your dog's background along with an understanding of your training goals. This form must be filled out completely to schedule an appointment.

* Indicates a Required Field

Owner Information

DateTime

Full Name *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State
Postal / Zip Code	County

Phone Number *

Area Code Phone Number

E-mail *

How Did You Hear About Us? *

How Many Children Do You Have? *

Have You Ever Owned A Dog? *

Have You Ever Trained A Dog? *

Dog Information

Dog's Name *

Breed *

Age *

How Old Was The Dog When You Acquired It? *

Gender *

Male Female

How Long Have You Owned The Dog? *

Has Your Dog Been: *

Spayed Neutered None of the Above

Where Did You Acquire Your Dog? *

Where Does Your Dog Sleep At Night? *

Is Your Dog House Trained? *

Veterinary Information

Veterinarian *

Vet Clinic *

Vet's Phone Number *

Area Code Phone Number

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

All vaccination records and deworming must be up to date and a copy provided for the trainer to keep for her records either on or before the first appointment.

Is Your Dog Current On All Vaccinations Including Rabies? Documentation of all vaccinations is required before training begins. *

Yes No

Please List All Medications Your Dog Is Currently Taking. Please Include Heartworm, Flea and Tick Medications, etc *

Please List Any Medical Problems Your Dog Has Had: *

Behavior Information

Describe Any Previous Obediance Training and the location of the training *

Which Member Of The Family Has The Best relationship with Your Dog? *

Does Your Dog Know How To Walk On A Leash? *

Yes No

Where does your dog stay when you are gone for the day? *

What behaviors are you finding challenging? *

Loose leash walking Jumping on people/nice greetings Excitability Manners Fearfulness Aggression

Describe Unwanted Behavior In Greater Detail: *

Is Anyone In Your Family Afraid Of Your Dog? If So, Please Describe: *

What type of exercise does your dog get typically in a day? *

Has Your Dog Ever Bitten A Person? *

Yes No

Has Your Dog Ever Been Reported To Animal Control For Biting? *

Yes No

How would your ideal dog behave? *

What 3 things do you like about your dog? *

What 3 things would you change about your dog? *

Is your dog fearful or nervous about certain situations/people/ dogs? *

Briefly State What You Hope To Accomplish In This Class: *

Pawsitive Play Policies *

Fees and Cancellation Policy: Fees are listed on www.pawsitiveplaydogs.com and Facebook page and are due at the end of each training session unless agreed by both parties. Payment can be made with cash or check. If client fails to give at least 24 hours cancellation notice or is not present at scheduled appointment session fees are still due. For a package deal, the session will still be counted as one session. Payment for a training package will be made before or after the first session of the training package. Likewise, trainer will provide notice of cancellation and reschedule due to inclement weather.

I have read and Agree to the above statement

Services: Trainer agrees to provide private lessons to client and dog on a lesson by lesson basis, the goal being to teach client how to train and work with their dog. These lessons will take place at Pawsitive Play Dog Training LLC. Trainer will make every reasonable effort to help client achieve training goals but makes no guarantee of dog's performance or behavior as a result of providing professional consultation. Client understands that he/she and members of the family must follow trainer's instruction without modification, work with dog daily as recommended, and constantly reinforce training being given to the dog.

I have read and Agree to the above statement

Liability: If dog causes property damage, bites or injures any dog, animal or person (including trainer but not limited to trainer), during or after the term then the client agrees to pay all resulting losses and damages suffered or incurred and to defend and indemnify trainer from any resulting claims, demands, lawsuits, losses, costs or expenses including attorney fees. If dog is in a fight or in any other manner during or after the term client assumes the risk and agrees the trainer should not be held responsible for and resulting injuries. losses, damages, costs or expenses. I understand that attendance of a dog obedience training class is not without risk to myself, members of my family or guests who may attend, or my dog, because of some of the dogs to which I will be exposed may be difficult to control and may be the cause of injury even when handled with the greatest amount of care.

I have read and Agree to the above statement

Photo and Video Release: I hereby grant Pawsitive Play Dog Training LLC the absolute right and permission to copyright, use, reuse, and publish videos, pictures of me and /or my family and pets during consultations and training sessions.

I have read and Agree to the above statement No, thank you.

We ask that you not bring children under 10 to your session. Abiding by this request will ensure everyone's safety and allow you to focus exclusively on your dog. Thank you for your cooperation in this matter.

By Clicking The Submit Button You Agree To The Above Terms