Name
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First Name
Last Name
Preferred pronouns
Address
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Email
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Phone
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(###)
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Preferred communication
Dog's name
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Breed or best guess
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Dog's age
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Dog's Sex
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Please list any other people in the home
If you have any other pets in the home please list them along with species
How did you acquire your dog?
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Who is your regular veterinarian?
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May we contact your veterinarian to discuss your dog's behavior?
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Does your dog have any allergies?
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Does your dog have any past or current medical conditions?
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Does your dog take any medications? If so, what?
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Has your dog ever shown reactivity or aggression towards another dog or animal?
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Has your dog ever bitten or injured another dog or animal?
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Has your dog ever shown fear, reactivity, or aggression towards a person?
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Has your dog put teeth on a person?
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What does your dog's average weekly or daily exercise and enrichment routine look like? ( Walks, play, training, chews/Kongs, food puzzles, dog park, etc)
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Has your dog had any previous training?
What are your goals for training?
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Is there anything else you would like me to know about yourself, your life, or your dog?
I have read and accept the assumption of risk and waivers of liability
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