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Raising K9 Training In-Take
Fill out a separate application for each pet
Name
Referral:
Email
Cell Phone
Address
City
Zip
State
Dogs Name
Sex
Male
Female
Birthday
Age
Breed
Is your pet Spayed/Neutered:
Yes
No
If so, when was it done?
Is this your first dog (not including childhood pets)?
Yes
No
How old was your dog when you got him/her?
Can you state where he/she came from? (Breeder, Kennel, etc.)
Was he/she re-homed or from a rescue center?
Why was he/she re-homed?
To your knowledge, does your dog have any current/recurring medical concerns?
List any current medications.
What type/brand of food do you feed him/her?
How many times a day is he or she fed?
What times of the day are they fed?
List any supplements your dog ingests, e.g. Vitamins
Is he/she a Finicky or Veracious Eater?
Yes
No
What type of exercise does your dog get?
How many hours of exercise does he/she get each day?
Does he/she prefer being alone or with other dogs?
Alone
Other dogs
Do you keep your dog on a lead or allow him/her to run loose?
Lead
Loose
Does he/she enjoy taking walks?
Yes
No
How much interaction/play does he/she get with other dogs?
Where do you keep your dog's toys?
What is your dog's favorite game with humans?
What is your dog's favorite toy?
Does your dog have free access to his/her toys?
Yes
No
Where does your dog sleep at night?
Where does he/she stay when you go to work/leave home?
Is he/she left on a regular schedule? If so, for how long/day?
Are there any problems (i.e. accidents, hyperactivity) when you are gone? Explain any concerning behaviors.
Describe how the dog was potty trained.
Does he/she walk to heel?
Yes
No
Does he/she come when called?
Yes
No
Does he/she drop objects when asked?
Yes
No
Have you & your dog attended training classes together? How old was the dog?
How long was the training?
Explain any concerns during/after the training?
How many humans are in your household?
Any under 18? List the ages.
Does anyone NOT interact with the dog?
Do you have any other pets in the home? (List type, age & sex)
Is he or she good with children?
Yes
No
Is he or she good with strangers?
Yes
No
Is he or she good with family members?
Yes
No
Is he or she good to groom or bath?
Yes
No
Is he or she good with nail clipping?
Yes
No
Is he or she good with cats?
Yes
No
Is he or she good with loud noises?
Yes
No
Is he or she good when meeting other dogs?
Yes
No
Would you describe your dog as a fussy feeder?
Yes
No
Would you describe your dog as aggressive in any situation?
Yes
No
Would you describe your dog as aggressive to other dogs?
Yes
No
Would you describe your dog as nervous of anything?
Yes
No
Would you describe your dog as nervous of strangers or loud noises?
Yes
No
Would you describe your dog as bouncy and enthusiastic?
Yes
No
Would you describe your dog as sociable?
Yes
No
Would you describe your dog as confident?
Yes
No
Are there any other problems with the dog?
Yes
No
Please Describe them.
Do you need to sedate him/her when you go to the vet or for nail clipping?
Yes
No
How much time do you feel able to commit to working with your dog to solve these concerns?
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