Client Information
First Name
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Last Name
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Phone Number
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Email Address
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Address
Street Address
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City
State
Postal code
How did you hear about us?
Dog Information
Dog's Name
*
Dog's Picture
Dog's Breed
*
Dog's Date of Birth
*
Dog's Sex:
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Neutered Male
Intact Male
Spayed Female
Intact Female
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Veterinarian Information
Vet Office Name
*
Vet Phone Number
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Website
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Date of last vet visit
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Currently taking any medications?
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Any history of health problems?
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Any allergies or food sensitivities?
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Training History
What are your immediate training goals for your dog?
What steps have you already taken to address your goals?
Has your dog had any prior training? If so, please describe.
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Aggression
Has your dog ever bitten a person or another animal? If so, please describe the circumstances
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Have there been any incidents of your dog snapping or attempting to bite? If so, please describe
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