• 
  

• Dog Training Application Form

• 
  

• Owner Information

• 
  
• Owner Name*
• Address

  Street Address 1

  Street Address 2

  City

  State/Province/Region

  Postal/Zip Code

  Country
• Phone

  --
• Email
• 
  
• Have you ever participated in dog training before?*

  Yes No
• How did you hear about us?*

  Family/Friend Internet Search Advertisement Groomer Veterinarian Kennel/Shelter Social Media
• Describe your household.*

  Female Adults Male Adults Female Preteen/Teen Male Preteen/Teen Female 0-10 Male 0-10
• Have you owned a dog before?*
  No Yes

  What breed?
• 
  

• Dog Information

• 
  
• Dog's Name*
• Gender*

  Female Male
• Breed*
• Age*
• How long has your dog been in your home?*
• Is the dog spayed/neutered?*

  Yes No
• 
  
• Has your dog received training before, with you or a prior owner?*

  No Yes Unsure regarding prior owner
• Is your dog house trained?*

  Yes No
• Describe the results you hope to acheive from this training?*
• List Current Issues Select None in particular, the dog is a puppy Barking/Howling Chewing Biting/Nipping Digging Aggressive Jumping Up
• Has your dog ever bitten anyone?*

  Yes No
• Has your dog ever been reported for any behavioral issue?*

  Yes No
• Does your dog ever exhibit of these behaviors?* Select Cowering Ears Back Hiding Noise Sensitivity Retreating Pacing Tail Tucked
• Which family member has the best control over your dog?
• 
  

• Veterinarian Information

• 
  
• Veterinarian Name*
• Address

  Street Address 1

  Street Address 2

  City

  State/Province/Region

  Postal/Zip Code

  Country
• Phone

  --
• Email
•