NEW CLIENT FORM

NEW CLIENT FORM FOR LIVING LIFE UNLEASHED!

Welcome! Living Unleashed is about living life with the confidence and support that you have a whole community of friends both human and pup that want to help you soar! We're an extended family to help you and your best friend live your best life, to thrive Unleashed!
THIS FORM IS FOR:*
FILLED OUT BY:*
GUARDIAN INFORMATION

This will be our primary contact
NAME*

First NameLast Name
EMAIL*
CELL NUMBER*

Area CodePhone Number
WORK NUMBER

Area CodePhone Number
ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Additional Address (if there will be a secondary pick-up location)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
WORK INDUSTRY
REGULAR WORK HOURS
ALTERNATE CONTACT (in city)
NAME*

First NameLast Name
RELATIONSHIP*
PHONE NUMBER*

Area CodePhone Number
EMAIL*
LIFE UNLEASHED!

Unleashed in the City is a Montessori day school for dogs run by certified professional dog trainers. We offer high-quality education programs for all life stages based on fear-free, positive reinforcement strategies, with a special focus on social integration, enrichment and nature-based adventures.
HOW DID YOU FIND OUT ABOUT UNLEASHED AND WHAT MADE YOU EXCITED TO JOIN OUR COMMUNITY?*
What excites you most about living life Unleashed!
PLEASE SPECIFY
WE'D LOVE TO KNOW WHO!
WHICH SERVICES ARE YOU INTERESTED IN?*

THE ACADEMY (DAY SCHOOL WITH SPECIALIZED TRAINING AND FIELD TRIP BASED ON EACH DOGS DEVELOPMENT LEVEL)PRIVATE TRAINING + COACHING (IN YOUR HOME, WE WORK WITH YOU TO COACH YOU THROUGH SKILL BUILDING BEHAVIOUR SPECIFIC TO YOUR LIFE) IE/ FOUNDATION SKILLS, FEAR REACTIVITY/CONFIDENCE BUILDING ETC.WALK + TRAIN (WORKING ON DEVELOPING SPECIFIC SKILLS OR BEHAVIOUR, YOU DO NOT NEED TO BE HOME).ADVENTURE HIKE ( For Academy Alumni)PLAY + GROWTH STUDIO (EVENING + WEEKEND CLASSES, PLAY GROUPS, WORKSHOPS)
HOW OFTEN WOULD YOU LIKE TO USE OUR SERVICES?*

5 DAYS PER WEEK3-4 DAYS PER WEEK2 DAYS PER WEEK
WHEN WOULD YOU LIKE TO START USING OUR SERVICES?

MonthDayYear
The UNLEASHED ACADEMY is designed for our members to live their best life through a consistent routine and positive environment with friends! All of our pups have days reserved just for them per semester! We have a two day a week minimum and dogs on 3-5 days a week receive 10% off

I am ready to sign up for 5 times days a week, let's do this!I want to see my friends 3 or 4 days a week but still want to be a member.I want to stay at the a la carte rates and come twice a week. (psst, that's ok! We just want you to know you have options for savings if you do decide to add more days!)
DOG INFORMATION
NAME*
BREED*
COLOUR*
DATE OF BIRTH*

MonthDayYear
SEX*

MALEFEMALE
IS SHE SPAYED?*

YESNO
Please note that females in heat will not be able to join any pack services. Private services may still be available during her heat.
IS HE NEUTERED?*

YESNO
As we operate in a group environment we do not accept intact males over the age of 1 year. For dogs close to this age, we will assess if we can work with you until they are neutured. If you plan to have your dog neutered, please indicate when:
MonthDayYear
CITY OF TORONTO LICENCE TAG:
The City of Toronto requires that all dog's living in the city be licensed and wear their tags. If your dog is not licensed please visit their website to do so before your dog's first day with Unleashed.
MICROCHIP NUMBER (if applicable)
MEDICAL HISTORY
DOES YOUR DOG HAVE ANY FOOD ALLERGIES OR SENSITIVITIES?*

YESNO
PLEASE SPECIFY
HAS YOUR DOG EVER HAD SURGERY OR NEEDED EMERGENCY CARE?*

YESNO
PLEASE SPECIFY*
PLEASE INDICATE WHICH OF THE FOLLOWING YOUR DOG HAS BEEN VACCINATED FOR:*

RABIESDISTEMPER/PARVO (DHPP)LEPTOSPIROSISBORDETELLAOther
We'll need a copy of your dog's vaccinations for our records. You can have your vet email them directly to us at info@unleashedintheciy.com or bring a copy in for your Meet n' Greet.
VET CLINIC*
CLINIC NUMBER*

Area CodePhone Number
VETERINARIAN
CLINIC ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
TRAINING, WALKING, HIKING, DAYCARE & GROUP EXPERIENCE

As a force free and positive reinforcement Day School, we want to set our pups up for success by using their motivators to enhance our bond, keep their focus and work on recall so we can have the most fun together with our friends every day!

WHAT MOTIVATES YOUR DOG? PLEASE SELECT AND RATE ALL THAT APPLY*

	NOT AT ALL	SOMETIMES	OFTEN	ALL THE TIME
TREATS
TOYS
SQUEAKER
STICKS
TONE OF VOICE
OTHER DOGS
HUMAN AFFECTION
OTHER

PLEASE DESCRIBE WHAT ELSE MOTIVATES YOUR DOG TO KEEP THEIR FOCUS ON YOU + WHAT ARE THE HIGH VALUE TREATS THAT THEY REALLY LOVE!:
HAS YOUR DOG EVER TAKEN ANY TRAINING CLASSES?*

YESNO
WHERE DID THIS OCCUR AND WHAT TYPE OF CLASSES?*
DID YOU FEEL SUPPORTED DURING CLASS? WHAT DID YOU LIKE ABOUT THEM AND WHAT IMPROVEMENTS COULD HAVE BEEN MADE?*
WHAT IS YOUR GO-TO TRAINING STYLE?*

POSITIVECORRECTIVECOMBO OF BOTH
FOR UNLEASHED TRAINING+ COACHING AND WORKSHOPS, WHAT DO YOU WANT SUPPORT WITH? (CHECK ALL THAT APPLY)*

PUPPY SUPPORT: FROM BEFORE THEY COME HOME AND THEN 8 WEEKS TO 16 WEEKSPUPPY + TEENAGER SUPPORT: PLEASE SUPPORT ME ON OUR JOURNEY TO RAISE A CALM AND CONFIDENT DOG IN THE CITY! 16 WEEKS UP TO 12 MONTHSFOUNDATION SKILLS (SIT, DOWN, STAY, DROP IT, WAIT, ETCLOOSE LEASH WALKINGRECALLCRATE TRAININGREACTIVITYSEPARATION ANXIETYPROPER PLAYREADING AND UNDERSTANDING DOG BODY LANGUAGEENRICHMENT SUPPORTDOG PARK STRATEGIESFITNESS + WELLNESSCOOPERATIVE CAREPARTY TRICKS + FUN GAMESREAL LIFE! I WANT HELP WITH IT ALL: MAKING (AND EATING) DINNER IN PEACE, GETTING ACTUAL WORK DONE FROM HOME, GOING TO THE COTTAGE, WALKING TO GET COFFEE , PEOPLE COMING OVER ETC...
FOR UNLEASHED'S PROGRAMS: PUPPY ACADEMY, ADVENTURE HIKES, CAMP AND DAY SCHOOL, PLEASE GIVE US SOME BACK GROUND TO FIND THE BEST PROGRAMS FOR YOUR DOG: HAVE YOU EVER USED ANY OF THE FOLLOWING SERVICES? WHO DID YOU USE?*

DOG WALKERDAYCAREBOARDINGNONE OF THE ABOVEOther
WHAT TYPE OF DOG WALKING?*

ON-LEASHOFF-LEASH (SMALL DOG PARK)OFF-LEASH (BEACHES, FORESTS, TRAILS)PRIVATEPACK (3 OR MORE DOGS)Other
DID THE DAYCARE INCLUDE ANY OF THE FOLLOWING?

PEE-BREAK WALKON-LEASH WALKOFF-LEASH WALKI DON'T KNOW
WHAT STYLE OF BOARDING?

KENNELOPEN CONCEPTA FRIEND'S HOMEOther
WHAT DID YOU LIKE AND/OR DISLIKE ABOUT THESE SERVICES? WHY DID YOU STOP USING THEM? *
WE ASK THAT ALL PUPS HAVE A GOOD FITTING "Y" STYLE HARNESS AND MARTINGALE COLLAR OR SAFETY STRAP TO THEIR FLAT COLLAR. WHAT TYPE OF EQUIPMENT DO YOU CURRENTLY USE TO WALK YOUR DOG?*

FLAT COLLARFRONT LOADING HARNESS (ex: Easy Walk)TOP LOADING HARNESSMARTINGALE COLLARHALTI/GENTLE LEADERCHAIN COLLARSPIKE COLLAROther
WHEN WALKING YOUR DOG ON-LEASH, DO YOU HAVE ANY CONCERNS ABOUT:*

EXCESSIVE PULLINGFEARFULNESS OF STREET ACTIVITYLEASH REACTIVITY TOWARDS OTHER DOGSLEASH REACTIVITY TOWARDS PEOPLE/KIDSEXCESSIVE GARBAGE EATINGSTRONG PREY DRIVEI HAVE NO CONCERNSOther
WHEN YOUR DOG IS OFF-LEASH DO YOU HAVE ANY CONCERNS ABOUT:*

UNRELIABLE RECALLWANDERING AWAYSTRONG PREY DRIVEESCALATING PLAY WITH OTHER DOGSINABILITY TO SWIMPOO EATINGI HAVE NO CONCERNSOther
WHAT OFF-LEASH PARKS DO YOU FREQUENT WITH YOUR DOG?

HOW RELIABLE IS YOUR DOG'S RECALL WHEN THEY'RE OFF-LEASH WITH YOU?*

	1	2	3	4	5

1 is NON-EXISTANT, 5 is PERFECT

HAS A FRIEND OR FAMILY MEMBER EVER WALKED YOUR DOG OFF-LEASH?*

YESNO

HOW MUCH EXPERIENCE DOES YOUR DOG HAVE IN A VEHICLE?

Is in a vehicle on a daily basisIs in a vehicle occasionallyIs in a vehicle rarelyIs almost never in a vehicle
HOW DOES YOUR DOG BEHAVE IN A VEHICLE?*

Calm, relaxedAnxious, pantingVocalHighly excitedBarks at things outside the vehicleNot sureOther
HAS YOUR DOG EVER BEEN IN A VEHICLE WITH ANOTHER DOG OR A PACK OF DOGS?

YESNONOT SURE
SOCIAL SKILLS
Being part of Unleashed means learning social skills and reinforcing positive behaviours from both our team and School friends. A happy Unleashed member follows our Polite Pack Pal Policy and excels at reading signals from other dogs, respecting their boundaries, using avoidance to walk away if not interested in engaging with a dog friend, is redirected easily by our team to diffuse a situation and is great at self-regulating by taking breaks when tired.

PLEASE RATE THE FOLLOWING BEHAVIOURS ON THE SCALE BELOW:*

	NEVER	SELDOM	OCCASIONALLY	OFTEN	EXTREME
VOCAL
SEPARATION ANXIETY
READS AND RESPECTS SIGNALS
RESPECTS BOUNDARIES
ESCALATES PLAY (Play can escalate to aggression)
GUARDS RESOURCES (from dogs)
GUARDS RESOURCES (from people)
WALKS AWAY FROM CONFRONTATION
NERVOUS/SHY OR ANXIOUS
FEAR AGGRESSIVE

HAS YOUR DOG EVER:*

BEEN TOLD OFF BY ANOTHER DOG?HAD AN INTENSE EXCHANGEBEEN IN A SCUFFLEBEEN IN A FIGHTPUNCTURED ANOTHER DOGPUNCTURED A HUMANNONE OF THE ABOVE
PLEASE EXPLAIN

PLEASE NOTE ANY FEARS YOUR DOG MAY HAVE BY HOW THEY REACT. LEAVE BLANK IF NOT APPLICABLE.

	FREEZES	BOLTS	HIDES	BARKS	TREMBLES	ATTACKS	OTHER	GET'S OVER IT
THUNDER & LIGHTNING
FIREWORKS
VACUUM
SKATEBOARDS
MOTORCYCLES
MEN
BEARDS, HATS OR HOODIES
CANES, STROLLERS OR UMBRELLAS
KIDS
NIGHT TIME
CITY NOISES (trucks, streetcars, etc.)

PICK-UP & DROP-OFF INFORMATION
WHERE CAN WE PARK WHEN PICKING UP YOUR DOG?
PLEASE NOTE ANY SPECIAL INSTRUCTIONS FOR ENTERING YOUR HOME: We have new policies because of Covid-19 that we will go over during your meet n' greet.
ADDITIONAL INFORMATION
HOW WOULD YOU SUM UP YOUR DOG IN A FEW WORDS?*
WHAT'S YOUR DOG'S ULTIMATE ADVENTURE?*
IF YOU HAVE ANY ADDITIONAL INFORMATION OR CONCERNS YOU'D LIKE TO DISCUSS DURING YOUR MEET N' GREET PLEASE LIST THEM HERE.
Should be Empty:

NEW CLIENT FORM FOR LIVING LIFE UNLEASHED!

GUARDIAN INFORMATION

LIFE UNLEASHED!

DOG INFORMATION

MEDICAL HISTORY

TRAINING, WALKING, HIKING, DAYCARE & GROUP EXPERIENCE

SOCIAL SKILLS

PICK-UP & DROP-OFF INFORMATION

ADDITIONAL INFORMATION