Name
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First Name
Last Name
Email
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
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(###)
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####
How did you hear about Project HappyDog?
Veterinarians name and phone number
Your dog's name
Your dog's breed, age, sex, and weight
Your Dog's origin (breeder/shelter/other)
Is your dog spayed /neutered?
Yes
No
Is your dog on any medications?
Yes
No
If yes, what are they and when are they given?
Is your dog on a flea and tick prevention protocol?
Yes
No
What type of food does your dog eat and what is your feeding schedule? Please specify the amount fed at meal times.
Does your dog have any food allergies or sensitivities?
Yes
No
If yes, please list.
Has your dog had any prior formal training? If yes, which training tools did the trainer use? Were they effective?
How many adults live at home with the dog?
How many children live at home with the dog, and what are their ages?
How many other dogs does your dog live with? Has your dog shown any aggression towards them?
How long have you owned your dog?
Is your dog crate/kennel trained?
Yes
No
If yes, do they whine or bark in the crate?
Yes
No
Sometimes
Is your dog ever in the crate when you are at home, or only when you are away?
Does your dog have accidents in the crate?
Yes
No
My dog is not crate trained
Has your dog ever broken out of a crate/kennel?
Yes
No
Has your dog ever been boarded overnight?
Yes
No
Describe what walking your dog is currently like. Does your dog pull? How does your dog react to other people, dogs, strollers, bikes, skateboards, loud cars, etc?
How does your dog behave in the car?
How does your dog behave at the vet?
How does your dog behave around his/her food, toys, or bones? Does your dog growl when these items are taken away?
Does your dog interact well with other dogs?
Yes
No
Sometimes
Does your dog interact well with children?
Yes
No
Sometimes
If your dog has a history of human aggression, are you willing to condition them to a muzzle prior to drop off?
Yes
No
My dog is not human aggressive
Describe what a typical daily routine is like for your dog?
Does your dog follow you around the house?
Yes
No
Not always, but often
Does your dog sleep in your bed
Yes
No
Please check all the behaviors that apply to your dog:
Not potty trained
Has to be muzzled at the vet
Does not do well with grooming and/or nail clipping
Whines and/or barks in the crate
Overactive/hyper
Mounts objects and/or people
Play bites
Chews destructively
Digs in yard
Is shy
Jumps on people
Growls at people
Agressive toward dogs
Nuisance barker/whiner
Urinates when excited or scared
Guards toys/food/space/people
Sniffs or eats from counter tops
Doesn't come when called
Bolts through open doors
Stresses easily
Pulls on leash
Jumps on furniture
Has seperation anxiety
Are there any other problems you are expirencing with your dog that are not listed above?
How have you tried to stop any of these unwanted behaviors?
Describe how your dog acts when people come into the home or knock on the door?
I have reviewed Project HappyDog's training philosophy, methodology, Board & Train program, and pricing.
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Yes
No
I am aware that the Board & Train program is a head-start to a happy, obedient dog, and I will need to continue the training principals with my dog when they return home for continued success. Dog training is a lifestyle, not a quick fix, and I understand this is a team effort. I am committed to making the changes needed at home for my dog and I to have long term success.
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Absolutely!
I'm too busy to work with my dog.
Photo/Video Release
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I hereby assign and grant to Project HappyDog the right and permission to use, reproduce, distribute, and publish the photographs, films, audio and video recordings, electronic representations and/or sound recordings made of me and/or my dog at any time during the training and/or boarding of my dog by Project HappyDog, and I hereby release Project HappyDog from any and all liability resulting from such use, reproduction, distribution, and publication.
Please write your full name and initials, indication that you have read these terms and agree to this photo/video release agreement.
Message
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