FeverFit K9 - New Client Information

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Prior to meeting together for the first time, please fill out this form, so I get to know a bit about you and your dog.

Name (First and Last) *

Email *

Phone number *

Now, let's find out about your dog

Depending on your answers, I may reach out for additional information

What is your dog's name? *

How old is your dog? *

What breed is your dog? *

How much does your dog weigh? *

Does your dog have any known injuries or current medical conditions being treated by a veterinarian? (If yes, please describe.) *

Is your dog spayed or neutered? If yes, at what age? *

Has your dog ever had surgery other than spay/neuter? (If yes, please describe.) *

Does your dog have any allergies? (If yes, please describe.) *

Does your dog have any issues with bowel or bladder control? (If yes, please describe.) *

Does your dog have a bite history? (If yes, please describe.) *

Is your dog reactive to anything - people, other dogs, specific objects? (If yes, please describe.) *

What is your dog's primary job or sport?

What are your fitness goals for your dog? *

What does your dog currently do for fitness training?

What foundation behaviors does your dog know? *

Duration/Stillness

Front Foot Targeting

Rear Foot Targeting

Individual Foot Targeting

Positions (Stand, Sit, Down)

Nose Touch

Other Face Targeting - i.e. Chin Rest, Bridge Hold

Back Up

Spin (Both Directions)

Pivot

Side Step

Cone Wrap

Required

Is your dog familiar with unstable or inflatable equipment? *

Yes

Do you own any canine fitness equipment?

Balance Pad

Disc

Ramp/Wedge

Paw Pods

KLIMB

Cato Board

Peanut

FitBone

Donut

Donut Holder

Wobble Board

Rocker Board

Cavaletti

Canine Treadmill

Other:

Do you, as the handler, have anything I need to be aware of in terms of time restraints or physical restrictions for training? (If yes, please describe.)
*

Please list names and contact information for any other members of your dog's care team (general vet, rehab pro, massage therapist, etc) *

Liability Release and Payment Information

Once I receive this form, I will send a liability waiver and invoice to the email indicated above.

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