Please Complete Your New Client Intake Form

New Client Intake Form

Client Information

First Name

Last Name

Email *

Phone *

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

Client Occupation

Co-Owner’s Name

Co-Owner’s Occupation

Address

City

State

Postal code

Children & Ages

How/where did you hear of us?

Have you moved with your dog within the last 12 months?

Have you added or lost any pets within the last 12 months?

Have you added or lost any family members within the last 12 months?

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Dog Information

Dog's Name *

Dog's Age *

Dog's Breed *

Dog's Sex: *

Spayed/Neutered *

Where did you get your dog?

How long have you had the dog?

Why did you originally adopt your dog(s)?

Medical History

List all medications your dog is currently taking:

Vet's Name

Vet Office Name/Phone/Address

Please list any current or past medical issues including surgeries, infections, etc.

Other Pets

Pet 1 : Name, Age, Breed, Sex, Fixed

Pet 2 : Name, Age, Breed, Sex, Fixed

About Your Dog’s Training Goals

5 Things You Like About Your Dog

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5 Things You Wish You Could Change About Your Dog

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What made you reach out to us for training assistance?

What would you like to accomplish through training?

How would your ideal dog behave like?

Thank you for taking the time to fill out our registration form. These details will help us better serve you and your dog. We look forward to working with you!