Sentire LLC - Dog Training Intake Form
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Email *
Owner's full name: *
Owner's phone number (###-###-####): *
Owner's email address: *
How did you hear about us? *
In what city and state are you located in? *
Dog's name: *
Dog's date of birth (or approximate current age): *
Breed: *
Sex: *
Spayed/Neutered? *
Please list any health issues, medications, allergies, etc. that your dog may have: *
Has your dog had any accidents, injuries, or illnesses? If so, what and for how long? What was the outcome? Did your dog see a vet regarding the accident/injury/illness? If so, whom (Name, Phone):
*
How long have you had the dog? What is the dog's history: *
Describe your relationship with your dog: *
Describe how your dog behaves around other dogs: *
Describe how your dog behaves around people: *
Has your dog ever exhibited any signs of aggression toward people or animals (growling, lunging, biting, etc.)? If so, when did this first occur? Please describe in detail the first signs, and the progression of the behavior over time: *
Describe your dog's home life (daily schedule, other animals, children, etc): *
Describe your dog's mental and physical exercise outlets and the frequency of these activities: *
What is your dog's diet (food type and frequency of feeding)?: *
Tell me about your dog's likes, dislikes, and motivators: *
What issues and concerns are you having with your dog? Please be as specific as possible: *
What are your training goals? Describe what you would consider a successful outcome after training: *
Describe any prior training your dog has had (when it took place, for how long, with what trainer(s), etc.): *
Describe the training equipment you currently use, and/or have used in the past (flat collars, prong collars, harnesses, remote collars, gentle leaders, muzzles, etc): *
Which Training Program(s) are you currently interested in?

*Details of each can be found at www.sentirek9.com under the Training Programs tab
*
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Do you have a preference in training location? *
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