Name
*
First Name
Last Name
Phone
*
(###)
###
####
Email
*
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
How did you hear about us?
*
If a personal referral, please mention them so I can thank them!
Emergency Contact 1
*
First Name
Last Name
Relationship to You
*
Spouse / Partner
Parent / Guardian
Sibling
Friend
Neighbor
Relative (Other)
Other
Phone
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Can this person make emergency decisions on your behalf? We will always attempt to contact you first.
*
Yes
No
Emergency Contact 2
*
* MUST LIVE SEPARATE FROM YOU *
First Name
Last Name
Relationship to You
*
Spouse / Partner
Parent / Guardian
Sibling
Friend
Neighbor
Relative (Other)
Other
Phone
(###)
###
####
Address
*
* MUST LIVE SEPARATE FROM YOU *
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Can this person make emergency decisions on your behalf? We will always attempt to contact you first.
*
Yes
No
Dog’s Name
*
Date of Birth or Approximate Age
*
Breed or Mix
*
Dog’s Gender
*
Female, intact
Female, spayed
Male, intact
Male, neutered
How old was your dog when you got them?
*
Where did you get your dog?
*
(Name of breeder or rescue/shelter, friend, stray, etc.)
Please list any other animals in the household (species and ages):
*
How many adults and/or children in the home?
*
How much and how often does your dog eat per day?
*
Name of Flea / Tick / Heartworm Prevention:
*
Date of Last NEGATIVE Fecal Test:
*
MM
DD
YYYY
Allergies or Medical Conditions:
*
Daily Supplements and/or Medications?
*
(Allergy meds, probiotics, hip/joint, etc.)
Have you ever formally trained a dog before (using a trainer)?
*
Behavioral (check all that apply):
*
Pulls on leash
Jumps on people
Excessive barking
Separation anxiety
Resource guarding (toys, food, space)
Reactivity (dogs/people)
Scared of loud noises (thunder, fireworks, etc.)
Can’t settle in the house and/or crate
Doesn’t come when called
Car sick
Begging
Counter Surfing
Nipping or Biting
Potty accidents in the house
Reliably potty trained
Crate trained
Regularly crated
Rides well in vehicle
Other
Please explain any and all details from the checklist:
*
Have you worked with a trainer before?
*
Yes
No
Training Tools You’ve Used:
*
Regular Collar
Harness (no pull or regular)
Prong collar
Choke chain
Slip lead
Head halter
E-collar
Other
Commands your dog knows:
*
Sit
Down
Come
Stay
Place
Heel
Crate / Kennel / Go to Bed
Release Word (free/break)
Other
What are your training goals for you and your dog?
*
Anything else you’d like to add that I should know about your dog?
We are partnered with a local grooming salon, Primp Your Paws. Would you like to have your dog professionally groomed before going home? If yes, I will connect you with the groomer to chat!
*
Yes
No
Do you understand that training a dog REQUIRES practice and consistency by all humans in the household?
*
Yes
Do you understand that your booking fee is non-refundable?
*
Yes
Do you understand that once you begin a program, there are no refunds?
*
Yes
Do you understand that every dog is different and results will vary? Progress is all based on the amount of work you put in, even after completing a board and train program.
*
Yes
I understand that I will not hold Sweet Southern Dog Training liable for anything that happens with my dog while training. I understand that my dog should be parasite free when coming to training and that I cannot hold Sweet Southern Dog Training liable if my dog is exposed to parasites, disease, or illness that is unknown on the premises. I understand that I am obligated to disclose if my dog has a history of aggression, especially biting humans or other animals.
*
Yes