| Owner
Information |
| Name:
| |
| Address: |
|
| City:
| State: |
| Zip:
|
Phone: |
| Email:
| |
| Have
you ever attended an obedience class before?
Yes
No |
If yes, briefly
explain what you liked best and least about the class.
|
Please list three
main goals you have in the class.
|
| Where did you hear about
our training program? |
| If
friend or veterinarian please name: |
| Which
Class are you enrolling in? | Puppy-K (under five months
old) $75/puppy Starting
date: Basic (Five months and older)
$85/dog Starting date: Intermediate Receive
$25 off! (Reg. $100/dog) Starting
Date: |
Which
Class are you interested in learning more about? | Advanced Private or Semi-Private |
| Dog
Information |
| Name:
|
|
|
Breed: |
|
| Age:
|
|
| Sex: |
M F
Spayed Neutered |
Is
your dog current on all vaccinations, including Bordetella (kennel cough)?
Yes No
|
How
would you describe your dog's personality: Dominant,
Shy, Assertive, Fearful, Outgoing, Playful Etc. |
|
|
Is your dog aggressive
toward: Other
dogs? Yes
No People?
Yes No
Children?
Yes No
|
| Is
your dog fearful of any situation, person(s), noises, etc.? Yes
No
|
If
yes, please describe.
|
Please list three
things that make your dog's tail wag. What
motivates him/her?
|
Please
list the behavior problem you most want to correct:
|
Please
indicate any commands your dog knows:
sit
stay down
other |
| Does
your dog pull his/her leash? Yes
No |
| Does
your dog jump-up on people? Yes No |
| Does
your dog Bark excessively? Yes
No |
| |