PACK-9 TRAINING ENTRANCE FORM

First Name *

Last Name *

Address *

Address 2

City *

State/Province *

Zip/Postal Code *

Phone *

Email Address *

Emergency Contact

Emergency Contact Phone Number

Preferred way to contact *

Phone

Email

Any

Dog's name? *

Dog age: *

Dog Breed: *

Dog Breed:

Veterinary office: *

Sex: *

Male

Female

Spayed/Neutered? *

Yes

No

Medical Conditions? *

Allergies? *

Has your dog ever bit a human? *

Yes

No

Explain if yes

Have they bit another dog? *

Yes

No

Explain if yes

Resource guarding? *

Yes

No

Explain if yes

Aggressive behavior? *

Yes

No

Explain if yes

Jump up? *

Yes

No

Pull on a leash? *

Yes

No

Excessive Barking? *

Yes

No

Jump or climb a fence? *

Yes

No

Dig? *

Yes

No

Is he/she crate trained? *

Yes

No

Are there specific training dates you are looking for? If so please list:

Our initial phone consultations are held on Friday's. Please let us know a preferred time frame that works for you! *

What program(s) are you interested in? *

Training methods you have tried in the past: *

Training methods you are not wanting to try *

Please let us know if there is any other information about your dog that would help us customize a training plan!

How did you hear about Pack-9 Training? *

Terms and Conditions *

You consent to receive communications from us electronically. We will communicate with you by e-mail or phone. You agree that all agreements, notices, disclosures and other communications that we provide to you electronically satisfy any legal requirement that such communications be in writing.

Please sign *

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