Client Form

For Dog Training Services

IMPORTANT NOTE **If you are a NEW customer, please fill out the “Client Information Form” below for the dog training service. If the form and liability agreement is not filled out/signed, we cannot service your pet.

Owner's Information

Full Name(Required)

Contact Number(Required)

Email(Required)

Address(Required)

Street Address City State Zip

Do you have a secondary contact?(Required)

Yes

Secondary Information

Full Name

Contact Number

Address

Street Address City State Zip

Dog Information

Pet name(Required)

Breed(Required)

Age(Required)

Weight

Please enter a number less than or equal to 300.

Sex(Required)

How long have you had this dog?(Required)

Distemper Vaccination(Required)

Month

Day

Year

Rabies Vaccination(Required)

Month

Day

Year

MM and YYYY is ONLY required

Is your pet current on all other vaccinations?(Required)

Yes

General Information

This section helps us best help you and your dog and provide the best possible dog training.

Have you tried training in the past?(Required)

Yes

How did your dog respond?(Required)

What is your primary goal for in-home dog training?(Required)

Do you have any specific timeline or deadlines for achieving training goals?

Yes

What is your deadline?(Required)

How does your dog react to new people entering the home?(Required)

Jumping- with wiggly body

Wagging Tail

Tucked Tail

Backs away and barks

Lunges, barks aggressively

Other

Please Explain(Required)

Do you have a fenced yard or secure area for outdoor training?(Required)

Yes

Other

What type of leash and collar/ harness do you currently use during walks?

Do you have any specific household rules or boundaries for your dog (e.g., not allowed on furniture, specific rooms off-limits)?

Are there specific areas in your home where you'd like your dog to behave better (e.g., kitchen, living room, near the front door)?(Required)

Yes

What is the location?(Required)

Kitchen

Family Room

Bed Room

Basement

Other

Please explain(Required)

Do you have any safety concerns or areas in the home that should be avoided during training sessions?(Required)

Yes

What area should be avoided?(Required)

Do you have a regular daily schedule for your dog (feeding, walking, playtime, etc.)?(Required)

Please explain generally

How many hours a day do you typically spend with your dog?(Required)

Please enter a number less than or equal to 24.

What activities do you do together?

Are there any specific commands or behaviors you would like your dog to learn?(Required)

Yes

No, I do not have specific commands/behaviors in mind but am interested in obedience training.

Please check all that apply

Sit

Down

Stay

Recall

Loose Leash Walking

Off Leash Control

General Obedience

Other

Please Explain(Required)

Do you have any other pets in the house?(Required)

Yes

How do they interact with your dog?(Required)

Please explain generally

Hidden

How Does your dog typically behave around other dogs?(Required)

High Wagging Tail

Tail Tucked

Likely to Run Forward

Crouches

Likely to Jump Up

Ears Back

Very Playful

Nervous/ Afraid

Pushy/ In Their Face

Likely to Ignore

Likely to Bark

Stiff

Likely to Growl

Level, wagging tail

Likely to nip/ bite

Ears Forward

Likely to Attack

Likely to walk forward

Protective of you

Protective of Toys

Wiggly

Protective of Food

Likely to Whine

Hidden

How Does your dog typically behave around new people?(Required)

High Wagging Tail

Tail Tucked

Likely to Run Forward

Crouches

Likely to Jump Up

Ears Back

Very Playful

Nervous/ Afraid

Pushy/ In Their Face

Likely to Ignore

Likely to Bark

Stiff

Likely to Growl

Level, wagging tail

Likely to nip/ bite

Ears Forward

Likely to Attack

Likely to walk forward

Protective of you

Protective of Toys

Wiggly

Protective of Food

Likely to Whine

Bite History

Have you noticed any changes in your dog’s behavior recently that prompted seeking training?

Yes

Please Explain(Required)

More information will help us to best help you and your dog.

How many times has your dog been harmfully bitten by other dogs?(Required)

Was it due to:(Required)

Overzealous Play

Aggression

How much damage was done to your dog?(Required)

Please describe the medical attention needed:(Required)

How many times has your dog been harmfully bitten other dogs?(Required)

Was it due to:(Required)

Overzealous Play

Aggression

How much damage was done to your dog?(Required)

Please describe the medical attention needed:(Required)

How many times has your dog been harmfully bitten people?(Required)

Was it due to:(Required)

Overzealous Play

Aggression

How much damage was done to the person?(Required)

Please describe the medical attention needed:(Required)

Is your dog currently on any medication or do they have any known health issues?

Yes

Medical & Health Advisories

Food Allergies:

Seizures:

Other:

What type of medication?

Food Allergies

Seizures

Other

Additional Information

Consent

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How did you hear about us?

Other(Required)

What is the name of the application? (e.g. Nextdoor, etc...)(Required)

Adoption Name

Did you adopt a dog from Paws and Claws? What was your dogs name?

If referred, by whom (First and Last)

Do you have any health concerns with your dog(s)?

Date of Form Completion

MM slash DD slash YYYY

(Today's Date)

Mayo, First Responder, or Medical Professional?(Required)

Yes

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