Name
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First Name
Last Name
Email
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Phone
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(###)
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Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Checkbox
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Partner's Name
First Name
Last Name
Other members of the household?
Please list any people that routinely interact with the dog and their ages if children.
How did you hear about us?
Dog's Name
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Please list the dog that is receiving training. If you have multiple dogs, please list in the question below
Dog's breed (if known) and age
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CheckboxM?F?S?N
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Dog's weight
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Where did you acquire your dog?
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Please list rescue of breeder's name if known
How long have you had your dog?
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Please list current or past medical concerns and any medications your dog is taking.
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Please list any Heartworm Prevention and Flea/Tick Prevention
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Please list the food you are feeding your dog and how often. Include details about feeding routine such as where your dog eats, does your dog get excited, wait patiently, etc.
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What are your behavior concerns and/or training goals for your dog?
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Has your dog received previous training? If so where?
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Tell us if you use a crate for your dog, when, and how your dog acts in the crate.
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Is your dog allowed on furniture? If so, when?
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How long is your dog home alone during the day? How does he/she act when you leave?
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What kind of collar/leash/harness are you using on your dog?
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Do you let your dog meet other dogs on walks? If so, how does it go?
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Please list other dogs in your home. Are there any behavior concerns with your other dogs?
Is your dog scared or fearful of noises, people, or objects?
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Is your dog sensitive to any body parts being touched or handled? If so please describe
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Is your dog possessive (growling, nipping, biting) of toys, food, objects, people, or other resources? If so describe when and to whom (dog or person).
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Has your dog growled at a person? If so please describe
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Has your dog bitten a person? If so please describe the incident and damage caused, if any.
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Has your dog bitten or fought with another animal? If so please describe
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Does your dog have any obsessive behaviors such as tail chasing, licking, grooming, barking? If yes please describe.
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What are your dog's best qualities?
I understand that I am responsible for ensuring my dog is up to date on his/her rabies vaccine prior to training. I affirm that any medical concerns or symptoms will be conveyed to the trainer prior to my dog’s training date. Any newly acquired dogs must be in the home with the dog guardian(s) for minimum of two weeks before the dog’s first training program or lesson. This will allow time for the dog to acclimate and any illness to manifest. I also affirm I understand that success of my dog’s training is dependent on my following the trainer’s direction and upkeep of the training.
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