Supersmart Dog
Reactivity - Beyond the Dog Bark
Registration Details
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Contact No
*
Back
Next
Dog Details
Dogs Name
*
Dogs Age
*
Dog Breed if known (others add what you think it maybe)
How did you get your dog?
As a Puppy from Breeder
UK Rescue
Foreign Rescue
Has you dog bitten a dog or person (This includes yourself)
Yes
No
If bitten/nip give further information on what happened? Also any injuries
Does your dog display any of the following behaviour in sight of other dogs
Bark
Lunge
Turn the other way
Stays still
Air Snap
Give me some fun facts about your dog,
Please give a brief Bio of your dog (include how long you have had your dog and any other issues)
Have you attended any other classes with your dog with any other trainer. Give a brief details if you wish
Veterinary Details (Please give details below)
Medical Condition (Please state if your dog has had any operations /on medication/ pain issues.
Please confirm you are happy the following information will be stored but not used by any 3rd Party Organisation and consent Supersmart Dog Training can take Picture and Video at these session. They will be used for education purposes within the group but also maybe used on Social Media . At no time will any videos be shown of dogs struggle unless I ask for consent beforehand.
Yes
No
Can you give me a Goal you would love to hit with your dog
Submit
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