Dog Training Intake Form Newsletter General InformationHealth & SafetyBehavior & TrainingFirst NameLast NameEmailPhone NumberDog's NameSex Male FemaleWhere did your dog come from? Dog's Breed Dog's Birthdate PreviousNextIs your dog spayed or neutered? Yes NoDoes your dog have up-to-date vaccinations? Yes NoAny past or current medical issues?In the event of an emergency, do we have permission to bring your dog to Central Animal Hospital? Yes NoAlternative Emergency Contact NameAlternative Emergency Contact PhonePreviousNextPlease list the goals you would like to achieve through training. Please describe your biggest challenges (for example: leash reactivity, anxiety, recall, resource guarding, aggression, territorial behaviors at home, separation anxiety etc.) If your dog struggles with reactivity, please describe what triggers your dog most (other dogs, people, kids, deer, squirrels etc.)Have you completed training with any other dog trainers? Please provide details.Is your dog crate trained?Does your dog have separation anxiety? Does your dog have a bite history? If so, is it with dogs or humans? Please explain. How much time are you willing to spend reaching these goals and how committed are you to following through with instructions and lifestyle/relationship changes suggested?Does your dog participate in any dog walking services? Previous Submit Form
