Name
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First Name
Last Name
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Mobile Phone
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Home Phone
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(###)
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What is the best time for us to call you?
Email Address
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Preferred Method of Contact
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Email
Phone
Emergency Contact Name
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First Name
Last Name
Emergency Contact Phone Number
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(###)
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Please list other members of your household, including sex & age
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How did you find us?
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Friend / relative referral
Veterinarian referral
Online
Other (please specify)
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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?
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Please describe previous training program(s) and what you learned, if applicable
Have you worked with us in the past with previous dogs?
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What type of training program interests you ?
What is your availability like for our lessons?
Please describe your home environment
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Home Environment Details
Please use this space to fill in home environment details if you chose "Other" above
Do you have any other animals?
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Please list your other animals
Include name, species, breed, and age
Dog Name
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Dog Breed
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Dog Age when you got him / her
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Dog Weight
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Dog Color
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Dog Sex
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Is your dog...
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Please list any health concerns, health issues, and prior surgeries
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Is your dog sensitive to being touched anywhere on their body? If yes, please explain
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Veterinarian Clinic Name
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Veterinarian Name
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First Name
Last Name
Veterinarian Phone Number
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(###)
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Is your dog currently on any medications? If yes, please list
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What is your feeding schedule for your dog?
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What type(s) of food do you feed your dog?
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Does your dog usually eat his / her food right away?
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What other type(s) of food or treats does your dog receive? How often?
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Include human food, table scraps, treats, training treats, bones, etc.
Does your dog have any known food allergies? If yes, please list
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Do you currently crate your dog?
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Is your dog comfortable in a crate?
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This means they go in willingly and are calm, quiet, and comfortable once inside.
What type of crate do you use?
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Wire, airline, other? Please specify
When is your dog crated?
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Does your dog use the bathroom in the crate?
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Has your dog ever escaped a crate?
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Does your dog bark or cry in the crate?
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Does your dog eat in the crate?
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Does your dog have any housebreaking issues? If yes, how many accidents does your dog have? Where are the accidents? What time are the accidents? Have you ever caught your dog in the act of having an accident?
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Where does your dog sleep at night?
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Does your dog use wee wee pads?
Does your dog have any anxiety, destructive habits, or other issues if not left in a crate when left alone?
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How many walks do you go on with your dog?
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Does your dog seem to enjoy going for walks?
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Does your dog ever get nervous of people, dogs, or objects on walks?
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Does your dog ever pull on the leash? Towards things or away from things?
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When does your dog pull on the leash?
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Does your dog ever bark, growl, or lunge while on walks? Is this behavior practiced towards people? Dogs? Something else?
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Does your dog lunge or pull towards cats / birds squirrels on walks?
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Does your dog react to joggers / bikers /skateboards on walks?
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Does your dog meet other dogs or strangers while on leash?
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Does your dog seem to enjoy meeting new people?
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To your knowledge, has your dog ever been hit by a human holding an object or by a human hand? If yes, please explain.
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If your dog does enjoy meeting new people, does he or she jump on them?
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If your dog does not enjoy meeting new people, please describe the worst incident you have had trying to introduce your dog to new people
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How is your dog with kids?
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Has your dog ever bitten anyone?
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If your dog has ever bitten anyone, how many times has it happened?
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If your dog as ever bitten anyone, did any of the biting incidents break skin or require medical attention? If yes, please describe the worst incident(s)
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Has your dog ever growled, lunged at, or bitten you or anyone else over food, toys, or other objects?
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Does your dog enjoy meeting other dogs?
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When is the last time your dog interacted with a new dog?
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If your dog does not enjoy meeting new dogs, does he or she have any dog friends that he or she is comfortable with?
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Does your dog interact with dogs while on leash or while off leash?
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Is your dog good with smaller dogs?
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Is your dog good with larger dogs?
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Do you currently or have you ever gone to dog parks, doggie daycare, or boarding facilities?
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Has your dog ever been kicked out of a daycare or boarding facility?
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Has your dog ever been in a fight with or attacked by another dog?
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Has your dog ever growled, lunged, or bitten other dogs over food, toys, a person or objects?
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Has your dog ever snapped at or bitten another animal? If yes, please describe.
Do you enjoy playing any interactive games with your dog (such as tug or fetch)? Please describe what these games look like. Do you initiate the game or does your dog? Do you end the game or does your dog? Is there cooperation within the game?
Has your dog ever run away?
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Have you ever used any kind of bark collar on your dog? If yes, what kind and when?
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Have you ever had a remote collar on your dog? If yes, what kind, what kind of training did you do with it, and did you work with a professional in that training process?
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Has your dog ever been trained on an electric fence?
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Has your dog ever bolted through the electric fence?
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Has your dog ever jumped over a physical fence? If yes, how high was the fence? Why did your dog jump and where did he or she go after jumping?
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Does your dog get on your furniture? Is he or she allowed on your furniture?
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Please check any behaviors that apply to your dog:
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Please tell us your top three training goals
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Is there anything else you feel we should know about your dog?
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Describe your dogs best qualities.
What would it mean for you to have your dog actually listen to you where you’re not constantly getting stressed out?
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How invested are you in getting this result? If we can help you get this result, would you be interested?
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I understand that I must practice with my dog / puppy consistently in order for my dog to progress through the program. If I do not meet this requirement, I understand my dog won’t learn all of the commands he’s capable of learning in the program.
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I understand that my dog entering a social setting with other dogs means that spats and small injuries, although rare, do happen from time to time. We guarantee that there is never a time that your dog is left unattended in a social setting. We do everything in our power to reduce the risk of and prevent injury, but sometimes dogs do receive injury and some of those may require veterinary attention. This is an inherent risk in dog socialization. We ask that our clients are clear about these risks and understand that we do everything in our power to prevent any and ideally all incidents with a high degree of care, and that we provide immediate vet attention when needed. This is all at the risk and cost of the owner.
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If Lead Your K9 advises my dog to wear a muzzle for human aggression or dog aggression training, I will comply with this request.
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I understand what vaccinations I am required to have.
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I understand that by enrolling my dog in a dog training program where they will be around other dogs and training in public areas increases the risks of exposing my dog to germs and other normally contagious illnesses. Lead Your K9 takes cleanliness seriously and cleans beyond the industry standard, but just like human daycares and playgrounds, eliminating 100% of the chance of things like kennel cough are impossible. As a result, we ask the client to take responsibility of all illnesses that may be contracted. I also understand that during the course of daily training there is a higher level of activity for my dog which may result in weight loss or less typical wear to my dog’s feet (i.e. rough paw pads or broken nails, etc.). Lead Your K9 will monitor these issues closely but will not be responsible for any expenses associated with treatment for these conditions.
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I understand that, as the client, and anyone involved with my dog will be given guidance and instructions that are required to continue and maintain the training at a satisfactory level. Our ultimate goal is for the clients (human and dog) to be ecstatically happy with the training provided, and it is important to understand your role in training. Lead Your K9 will give you detailed instructions and guidelines during and / or at the completion of the training program. I understand that following these guidelines are essential to my dog maintaining the training provided.
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