JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Board & Train Registration form
Must be filled out prior to being accepted into our Training Program.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
First and last name
Your answer
Significant other name and contact information
Your answer
Email
*
Your answer
Phone number
*
Your answer
Address
*
Your answer
Dog's Name, Age, Breed
*
Your answer
Dogs sex
*
Female spayed
Female not spayed
Male neutered
Male not neutered
Veterinarian (name, phone and address)
*
Your answer
Emergency Contact, Phone & Email
*
Your answer
My Emergency Contact to be notified in case you (Owner) aren't available.
*
respond to an urgent call
make veterinary choices on my behalf
pick up dog at any time if needed
are familiar with my dogs
Required
Most important behavior you would like to correct? Goals you would like to accomplish?
Your answer
Dogs are crated overnight, is your dog currently crated overnight
*
Yes, regularly
Yes, sometimes
No
No but is good in a crate.
Does your dog have separation anxiety? If so, in what situation?
Your answer
Has your dog ever escaped, chewed through or otherwise damaged a crate while unattended.
*
yes damaged a crate
yes, escaped
never escaped or damaged a crate
is not crate trained
Does your dog have a history of soiling in their crate
*
Yes
No
Is never crated
Does your dog play well with others?
*
Yes, plays well with dogs often
Sometimes, depends on the dog
no, is not friendly with other dogs.
Has your dog shared toys with another dog?
*
Yes, shares toys well
No, toys can cause fights
unknown
Do you take your dog to dog parks or daycare to play with other dogs?
*
Yes, weekly
Yes, occasionally
no, never
Describe your dog's behavior at the dog park/daycare or when meeting new dogs on walks.
*
submissive
nervous
the boss
aggressive
do not use dog parks/daycare/we avoid other dogs
My dog barks
*
rarely or never
sometimes, when I'm home
sometimes, when I'm gone
when left alone
Please list all other pets in the home
*
an older dog
a younger dog
multiple dogs
cat(s)
small pets (rabbits, hamster, mice, etc)
horses/livestock
chickens
I don't own other pets
Required
At home, my dog is aggressive with (select all that apply)
*
other dogs
the cat(s)
horse/livestock
chickens
bunny/caged pets
I don't own other animals
Dog is not aggressive with other animals
Required
My dog tends to be fearful (select all that apply
*
adults
children
dogs
car rides
being crated
being alone
thunderstorms/loud noises
nothing
Other:
Required
When interacting with new people or visitors, has your dog ever (check all that apply)
*
goes up to people and wants to be petted, may jump
hides/runs away/tries to escape
barks excessively
growls
snapped
made a contact bite
Required
Select the ages of children in household/frequent visitors
*
0-5 years
5-10 years
10+ years
Required
When interacting with other dogs, has your dog ever (check all that apply)
*
barked excessively
growled
had a contact bite
unknown - doesn't meet other dogs
chased or acted aggressively in anyway
none of the above
Required
When being groomed, having their nails trimmed or when examined by a veterinarian, has your dog ever (check all that apply).
*
growled
snapped
bit or has a history or biting
is well behaved
Required
When at home and meeting new people my dog displays the following behaviors:
*
greets people excitedly/asks for petting/may jump/barks excitedly
barks in a fearful or aggressive way
hides, runs away, tries to avoid/escape
growls
snaps/bites or has a bite history
Food brand and normal feeding schedule
Your answer
We often use treats in training, does your dog have any food allergies?
Yes
No
Clear selection
If referred by someone please share their name and contact information so we can thank them!
Your answer
Top 3 Training Goals
Your answer
Any special/specific notes for the trainer?
Your answer
E signature
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of gallatink9.
Report Abuse
Forms
