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Application
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Name
Phone number
Email
Address
Dog's name
Dog's sex
Dog's date of birth
Describe your family members. Who does your dog live with? (children, pets, frequent visitors, etc.)
Tell me about your previous dog experience, if any. Did you grow up with dogs? What kind of dogs have you owned in the past?
How old were they when you acquired them?
Where did you acquire your dog from?
Are you in contact with your dog's biological parents or litter mates?
Describe any allergies or food sensitivities.
What's your dog's meal schedule?
Rate your dog's food drive:
Doesn't enjoy high value treats (cheese, steak, hotdogs)
low
1
2
3
4
5
6
7
8
9
10
Would sell their soul for any food offered
high
Rate your dog's interest in toys:
Not wanting to touch them
Can't get enough, OBSESSED
What motivates your dog the most?
What problem behaviors do you notice with your dog? (check all that apply)
Leash pulling
Marking/urinating in the home
Excess vocalization
Reactivity on leash towards dogs
Reactivity on leash towards people
Separation anxiety
Mouthy behavior when excited
Jumping on people
Resource guarding
Aggression towards dogs or people off leash
Other
Is your dog reliably house trained?
Have you and your dog taken group classes before? If so, at what training facility? Describe your success.
What are your dog's favorite cues to perform?
Who in the household does your dog wish to please the most?
Is your dog crate trained?
Is your dog sensitive to handling?
What equipment does your dog typically wear when training?
Front clip harness
Back clip harness
Flat collar
E-collar
Prong collar
Head collar (halti or gentle leader)
Does your dog have a bite history?
If your dog does have a bite history, please describe each incident in detail.
What things stress out your dog the most? (check all that apply)
Strangers coming into the home
Going to the vet
Loud noises (trucks, fireworks, shouting, sirens, etc.)
Other dogs
If your dog struggles with leash reactivity, please describe what triggers reactions from your dog.
List your top 3 training goals.
What veterinary clinic does your dog go to? Please include their address and phone number.
Is your dog UTD on their rabies vaccine?
Do I have permission to verify?
Describe any and all medical conditions your dog suffers from.
Does your dog take any medications or supplements? If so, please list.
Rate your dog's comfortability at the vet:
Wanting to leave immediately
Loves the vet & greets everyone
What measures do you take to protect against fleas and ticks?
Do I have permission to take and share photos/videos of your dog?
Submit
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