Basic Client Information

Emergency Information

Basic Dog Information

Dog Details

Pack Walk Information

  • Client Info
  • Emergency
  • Dog Info
  • Dog Details
  • Pack Walks

Name

First Name

Last Name

Date

Date

Address

Address

Postal Code

Contact

Email

Cell Phone

Work/Home Phone

Emergency Contact

First Name

Last Name

Phone

Permissions

In the event of an emergency do we have permission to bring your dog to Central Animal Hospital?

Do you have Pet Insurance?

Have you filled out and submitted a waiver form? (If not, please make sure you do before the date of your pack walk)

Who is your Pet Insurance provider? (If applicable)

Please include any other medical or emergency information.

Name

Dog Name

Birth Information

Age

Birthday

Sex

Breed

Current Health

Weight

Are vaccinations up to date?

Is your dog spayed or neutered?

Does your dog have any allergies?

Behaviour and Training

Has your dog had professional training?

What level of training has your dog completed? (If applicable)

What company did your dog train with? (If applicable)

Does your dog come when called?

If walked in a designated off-leash area, can your dog be off leash?

Does your dog ever dart out of open doors or try to run away?

Does your dog exhibit aggression towards other dogs?

Does your dog exhibit aggression towards people?

Has your dog had a Thumbs Up evaluation, come out for a community walk, or taken part in other services?

Please include any other helpful information.

Pack Walk Details

How many times per week would you like your dog to go on pack walks?

Which days would you like? What is your desired start date? If you are signing up for one pack walk, please indicate the specific date.

One last thing...

How did you hear about Thumbs Up Dog Training?