Owner Name *

Email Address *

Dog Name *

dog notes Other

Breed *

Gender *MaleFemaleUnknown

How old is your dog and how long have you had your dog *

Where did you get your dog *BreederShelterPet StoreRehomedOther

Has your dog had any previous training *

• Yes
• No

If yes, describe previous training and results

What behaviours would you like help with

• Recall / Coming when called
• Engagement and distraction training in public
• Calming down, calm manners at home and outdoors
• Socialisation
• Loose-lead walking / Pulling
• Jumping up on people
• Reactivity towards dogs
• Reactivity towards people
• Excessive barking
• Fear
• Anxiety
• Chewing / Destructive behaviours
• Impulse control / Excitability
• Other (describe below)

Other (please describe)

Does your dog have any aggressive tendencies towards humans or other dogs *

• Yes
• No

Has your dog ever bitten a person or dog *

• Yes
• No

What do you want your dog to achieve from this program

Is your dog currently under council investigation or declared dangerous *

• Yes
• No

Can you provide us with access without you at home if needed

• Yes
• No

Any mediaction, medical conditions, allergies or injuries we should know about

Do you have any specific concerns about handling your dog

Preferred days/times for the sessions

• Monday
• Tuesday
• Wednesday
• Thursday
• Friday

Any special notes about access, home environment, or dog handling

Submit