Canine Behavior & Training Service Application

Dog Behavior & Training Service Application

Please fill out this form as detailed as possible to help us understand your needs.
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Dogs name*
Dogs Age*
Dogs Breed (is it a rescue, if so what breed/mix?)*
If your dog is a rescue, please share their background story. Where did you adopt them from, and how long have you had your dog?*
What is your primary goal or expectation for training your dog? *
Dog gender*

MaleFemale
Dog weight*
What Issues are You Experiencing With Your Dog(s)? Please Be as Detailed as Possible. For how long have you been having this issue?*
What triggers your dogs unwanted behavior and under what context (location, time, people, sounds?)?*
Please List Any Chronic Medical Conditions (If Applicable)
Are There Other Dogs in the Home?*

YESNO
How Many People (Children and Adults) Live With Your Dog(s)? *
Is Your Dog Exercised Outside of the Home Daily? What type of physical activity?*
How many times a day do you feed your dog?*
What kind of food do you feed your dog?*
Would you consider changing your dogs’ diet to see improvement in their behavior?*
Describe your dog's feeding routine. *
Dog's weight?*
What Sort of Leash / Collar or Tools Do You Use (or Have Tried) With Your Dog? *
Have you previously worked with a trainer to resolve your dog's issues? Which company or individual did you work with? Why are you seeking help again? What tools did you use and how did you use them (be as detailed as possible)?*
What Commands Does Your Dog Know and Perform, First Time Asked?*
Does Your Dog Hold a Down-Stay?*

YESNO
Does Your Dog Wait for Permission Before Passing Through Doorways or Getting on Furniture?*

YESNO
Is your dog crate trained? Does your dog remain calm in a crate and overnight?*
Has your dog ever bitten a person or animal? If yes, please explain.*
Is Everyone in the Home Onboard for Training Your Dog(s) and Participating in Resolving the Issues You Contact Us About Today?*
Days & Times That Work Best for You to Schedule with Us, or Ones We Need to Avoid?*
Which Service are You Interested in?*

PUPPY DEVELOPMENTBOARD & TRAINONLINE CONSULTATIONCANINE NUTRITIONPRIVATE BUNDLE BASIC OBEDIENCEPRIVATE BUNDLE BEHAVIOR MODIFICATIONAKC CANINE GOOD CITIZEN PREP PROGRAM & EVALUATIONAKC S.T.A.R PUPPY PREP PROGRAM & EVALUATIONWhatever The Trainer Feel is Most AppropriateGROUP CLASSOther
What are your budget and cost expectations for this service?*
How Did You Hear About Us?*
Please upload a picture of your dog*

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Signature*
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Dog Behavior & Training Service Application