New Client Intake
Complete this application and return it before our first lesson.
* Required
Email address
*
Your email
Name
*
Your answer
Dog's Name
*
Your answer
Dog’s age
*
Provide dog’s age or best estimate, if birthdate unknown
Your answer
Phone number
*
Your answer
Can you receive texts at this number?
Yes
No
Clear selection
Occupation
Your answer
Names of other people and children who will be training the dog
Please provide names and and ages of adults and children who interact with the dog on a regular basis. This can include dog walkers and frequent visitors who have contact with the dog.
Your answer
Street Address (for Private Training)
Please include Development/Building name and parking instructions
Your answer
Which Training Are You Registering for
*
Puppy Manners Fort Lauderdale (for puppies 10 weeks to 5 months)
Puppy Manners Weston (for puppies 10 weeks to 5 months)
Beginner Manners Fort Lauderdale ( for dogs 5 months and older with no prior training)
Beginner Manners Weston ( for dogs 5 months and older with no prior training)
Private Training (In-home or On-location)
Tricks for Fun and Fitness
Other:
Breed/Type
Your answer
Dog's Sex
Male
Female
Clear selection
Who is your dog's veterinarian?
Name of vet or hospital
Your answer
Your Veterinarian's Phone
We may call to verify vaccinations or share other information useful for your dog's care
Your answer
Is your dog current on vaccinations?
*
Proof of vaccines required
Yes
No
Required
Does your dog have any allergies?
Describe any known food, environmental allergies/sensitivities that might affect training.
Your answer
Neutered/Spayed
Yes
No
Clear selection
How did you get your dog?
Breeder
Pet Store
Adoption
Friend/gift
Other:
Clear selection
Would you considered your dog:
Pick the words that best describe your dog
Excitable/Jumpy
Shy/Timid
Mellow/Calm
Nippy/Growly
Other:
Clear selection
Has your dog ever snapped at or bitten a person or dog?
*
Please describe any incidences where your dog has attempted to bite. Or use N/A
Your answer
What are your training goals for your dog?
Your answer
Does your dog have prior training?
Yes
No
Don't know
Clear selection
If yes, please describe
Your answer
What types of training are you interested in?
*
Group Classes
Trick Classes
Canine Good Citizen
In-home private training
Behavior modification
Owner absent, in home (Day training)
Group walk, meet up lessons (single session)
Required
How did you hear about me?
*
Let me know who to thank for contacting me.
Veterinarian
Rescue
Facebook
Social media
Association of Professional Dog Trainers
Certification Council of Professional Dog Trainers
Google/online search
Thumbtack
Pet Supplies Plus
Auggie's Doggies
Angie's List
Other:
Required
Policies and Procedures
*
I understand Evolutionary Dog Training, LLC will do its best to train said dog(s), however, does not guarantee said dog(s) will be free of unwanted behavior. I understand all dogs learn at a different rate and that training is an on-going process. I understand I must keep up the training process on my own or dog(s) may revert to previous behavior. I understand I am responsible for representing dog(s) in a truthful manner so that trainer has full knowledge in order to train appropriately. I understand I am solely responsible for any harm the dog(s) may cause to self, trainer, property, other humans or other animals. I further understand I waive any and all claims against Evolutionary Dog Training, LLC or its employees. I understand it is my responsibility to keep my dog(s) under control at all times. I understand my dog(s) must be current on all required vaccinations and must be free and clear of any communicable diseases or parasites including fleas and ticks. I understand Evolutionary Dog Training, LLC reserves the right to take dog(s) to vet if necessary and I am responsible for all applicable charges including transportation and vet fees. By checking "Yes" below the client fully understands and agrees to the contents of this application:
Yes
Required
Name
Typing your name here will serve as your signature
Your answer
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