Your Name
*
First Name
Last Name
Phone
(###)
###
####
Email
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Emergency Contact: Name, Phone and Email
In case of an emergency and you cannot be reached, who is your alternative contact?
(###)
###
####
How did you hear about us?
*
If you were recommended by a friend, who is the friend?
What program are you interested in for your dog?
*
Your Dog's Name
*
First Name
Last Name
What breed is your dog?
*
If known
Name and Phone number of current Veterinarian
*
How long have you had your dog?
*
Do you have other pets at home?
*
Yes
No
Do you have kids at home? Or kids that frequent the home?
*
Yes
No
If yes, what are their ages?
What kind of food do you feed? How much (in cups) daily?
*
Does your dog have any medical issues?
*
Yes
No
If your dog has medical issues, what are they?
What medication do they take, if any?
Is your dog spayed/neutered?
*
Yes
No
If not spayed, when was their last heat cycle?
What activities/excerises do you provide for your dog?
*
On a scale of 1-10, how CLINGY would you rate your dog?
*
1 being not clingy, 10 being extremely - explain answer if needed
On a scale of 1 - 10, how FEARFUL is your dog?
*
1 being not at all, 10 being extremely - explain answer if needed
Has your dog ever caused injury to another dog or human?
*
Yes
No
If yes, please explain:
Does your dog exhibit any of the following?
*
If you checked yes to any of the above, please explain. (Or any behaviors we did not list)
What training tools have you used?
*
slip lead, pinch collar, ecollar, etc.
If your dog knows any commands, what are they?
What are your training goals?
*
I have read and agree to the terms & conditions of Absolute Canine Training
Terms and conditions (Owner Contract) is linked at the top and bottom of this page
