Board and Train Intake Form

Name*

Address*

E-mail Address*

Phone Number*

Name of Dog*

Breed and Age of Dog*

Spayed/Neutered*

Where did you get the dog?*

How Long Have you Had the Dog?*

Known History of Dog*

Date of Last Medical Visit*

Is this dog healthy according to a veterinarian professional?*

Medical History We Should Know*

Behavioural History We Should Know (be detailed)*

Known Stressors / Triggers that cause your dog to react*

Bite History (be detailed)

Socialability with Other Dogs*

Most Frightening/Serious Incident*

Methods Tried*

Please describe to us all previous training history, tools used for training and any methods that have been applied to this dog.

What was the outcome of these previous methods?*

What Is to be Taught?*

Describe the specific training that you want worked on the most, and what you want worked on secondary. This would be your realistic training goals.

Is Your Dog Muzzle Trained*

How Often Does your Dog attend Dog Daycare?*