Certified Animal Trainer
Fields marked with a * are required.
PLEASE DO NOT FILL OUT UNLESS YOU HAVE AN APPOINTMENT ALREADY CONFIRMED.
Owner's Name *
Postal Code *
Dog's name *
Dog's breed *
Dog's sex *
How long have you had this dog? *
Where did you get the dog? *
Have you had dogs before? *
Does your dog have any allergies? *
If so, please list:
Is your dog on any medications? *
If so, please list with what they are being treated for:
Who will be the primary trainer? *
Who else lives in the house? *
Are there other animals in the house? *
Does your dog have a bite history? *
If so, who does he/she bite?
Was doctor/vet consulted?
Was by-law consulted?
Has the dog had previous training classes? If so with whom? *
What behaviours does the dog know?
How does the dog react to strange humans? *
How does your dog react to strangers coming to the home?
Where is the dog kept when you are not home? *
Is the dog crate trained?
Does your dog pull when walking? *
What type of collar and leash does the dog wear when walking?
Have you tried other leashes/collars?
What type of exercise does the dog get? How often? *
How long is the dog left alone in a typical day? *
Does the dog respond to their name when called? *
What are the top three things you would like to change about your dog’s behaviour? *
Are you considering rehoming your dog for any of these behaviors? *
How did you hear about me?
* I have read and understand the above waiver.
Please send payment by etransfer to firstname.lastname@example.org
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