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TELL US ABOUT YOU!

Your First and Last Name: *

Phone Number: *

Email: *

Street Address: *

City: *

Zip Code: *

Other Members of the Household

Adults, Children and Pets: *

Please include their name(s), relationship to you and interactions with the dog.

TELL US ABOUT YOUR DOG!

General Info

Name: *

Breed: *

Gender: *

Birthday: *

Age (upon first attendance): *

Spayed/Neutered: *

Where did you get your dog?: *

Name of Breeder/Shelter/Rescue/Pet Store/Other: *

How old was your dog when he/she became a part of your family?: *

Veterinary Clinic: *

May we contact your vet to verify that your dog is healthy, free of parasites, and vaccinated?: *

(If attending group training: Pups must be healthy, parasite free, and vaccinated with at least 2 sets of DHLPP + Bordetella for at least 7 days prior to first attendance, and 10 days prior to first attendance if adopting from a shelter.)

Does your dog have any known allergies or medical conditions? If yes, please list: *

Diet

What brand and type of food do you feed your dog?:

Exercise

On average, how much exercise does your dog get each day? Please explain:

Socialization

How much experience has your dog had with people outside of your household:

Please describe how your dog behaves toward people when ON and OFF leash?:

How much experience has your dog had with dogs outside of your household and litter mates?:

Please describe how your dog behaves toward other dogs when ON and OFF leash?:

Does your dog have any fears or dislikes? Or, are there any situations in which your dog may be likely to become unfriendly? Please explain:

Examples: My dog (avoids, nips, lunges, etc) around (men, children, umbrellas, grooming, being picked up, big dogs, cats, loud sounds, etc).

In general, what personality type is your dog?:

Training

Has your dog had any previous training?:

If yes, please explain:

What are your 3 favorite things that you like about your dog?:

What are your dog's 3 favorite things?:

Examples: balls, treats, praise, car rides, the park, etc.

Why are you seeking training today? :

Basic Training and Socialization Skills

Behavior Problem(s)

I have specific goals

Specific Goals (if selected above):

How did you hear about us?: *

Comments/Questions:

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