Please fill out all the information below on this form to better help your trainer organize all the details necessary to help your dog. Be as detailed as possible. Some questions may seem irrelevant, but we like to have all the pieces of the puzzle as we are problem solving. Also, we do understand many of the questions may have already been asked and/or answered during the evaluation, but sometimes information changes between the evaluation and the start of the training. This form will help us to be certain we have all the correct and most up-to-date information in one place that we can reference throughout the training process.

Thanks for your help!

Human Client Information
Name *
Address *
Mobile Phone *
Mobile Phone
Home Phone *
Home Phone
Work Phone *
Work Phone
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone Number *
Emergency Contact Phone Number
If a friend, relative, or veterinarian referred you, please let us know so we can thank them!
Have you and this dog ever worked with a trainer before? *
Have you worked with us in the past with previous dogs? *
Please describe your home environment *
Please use this space to fill in home environment details if you chose "Other" above
Do you have any other animals? *
Include name, species, breed, and age
Dog Client Information
Dog Sex *
Is your dog... *
Vet Information
Veterinarian Name *
Veterinarian Name
Veterinarian Phone Number *
Veterinarian Phone Number
Include human food, table scraps, treats, training treats, bones, etc.
Crate Information
Do you currently crate your dog? *
Wire, airline, other? Please specify
Socializing with People
Has your dog ever bitten anyone? *
Socialization with Dogs
Other Questions
Please check any behaviors that apply to your dog: *
Owner Responsibility
Please initial next to each statement to show you have read and understand each part of the owner responsibility section.