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New Client Registration Form
To register, please fill out some of the details below
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Email
*
Your email
Name
*
Your answer
Address
*
Your answer
Phone number
*
Your answer
Pet Name
Your answer
Age
Your answer
Breed
*
Your answer
Male or Female
*
Your answer
De Sexed?
*
Your answer
Has your dog attended puppy school?
Yes
No
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Medical issues/conditions or physical restrictions + Vaccinations up to date:
*
Your answer
Food Type & Feeding Frequency
Wet Food / Meat / Chicken
Dry Food / Kibble
Raw Food
Other:
Did you rescue your dog?
Yes
No
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If Yes, provide brief summary of circumstances. (include their age when adopted, any behavioural issues already resolved, pre adoption history if known)
Your answer
Are there other dogs in the home?
*
Your answer
Bite history: Has the dog EVER bitten another dog, person or animal or had any close calls even if in self defence.
*
Your answer
Aggression or Fear triggers: What specific situations or stimuli cause your dog to behave scared/ over-excited / reactive / aggressive and how do they express it? e.g. Dog barks and lunges when on leash and a male human approaches us. When i use the vacuum, my dog does zoomies, barks and tries to bite the machine. List your dog's top five , if you have more than five let me know. *
Your answer
Is your dog muzzle trained?
Yes
No
Are there situations where you believe your dog is being protective of you / others? If so, provide a brief description of those situations if not already mentioned previously.
Your answer
My dog is most rewarded / motivated by...
Food
Play
Affection
Other Dogs
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When we walk we use a
Normal Clip Leash
Harness
Slip Lead or Correction Chain
Halti
Flexi Lead
They are off leash
When we walk, my dog... *
pulls a lot or sometimes
doesn't really pull but leads me and goes wherever they want
marks (urinates) frequently
resists
my dog is a loose leash walker who just follows me
Is your dog crate trained? *
Yes
No
Used to be but not anymore
i don't know what crate training is
Other:
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My dogs daily exercise typically includes (briefly describe type of activity and duration) *
Your answer
Do you do any training outside of exercise?
Your answer
Things I want to change / improve / the reason for making contact *
Your answer
Have you previously tried to address this issue with another trainer? *
Your answer
Anything else I need to know about the dog
Your answer
How did you hear about me?
Your answer
Are you comfortable with me taking some footage and photos for social media and website marketing?
Yes
No
Clear selection
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