Email address

Street address

Phone number

Preferred method of communication




Dog's date of birth
*OR Dog's age (if date of birth is unknown)


Date of your dog's last rabies vaccine

Does your dog have any diagnosed medical problems?

If yes, please specify

Does your dog take any medication?

If yes, please specify

Is your dog spayed/neutered?

How long have you had your dog?

Where did your dog come from?

Why did you choose this breed?

Why did you choose this particular dog?

Who is primarily responsible for this dog?

Have you had dogs previously for whom you paid the vet bills? (ie: not a childhood family dog)

Do you have other pets? (select all that apply)

How many people live in the household total?

Does your dog have any food allergies/sensitivities?

If yes, please specify

What do you feed your dog? (select all that apply)

How often is your dog fed?

Does your dog finish their meals?

Is your dog crate trained?

How long is your dog left alone during the day?

Where does your dog live primarily?

Have you done previous training or taken classes with this dog?

What type of exercise does your dog get?

If your dog is walked, how often?

What is your dog's favourite treat?

What is your dog's favourite toy?

What is your dog's favourite activity?

Which time slot works best for your schedule for training sessions? (select any that apply)