Canine Manners and More

Training Registration Form

Owner Information

First Name            Last Name

Address City  State Zip

Phone    Alternate Phone Email

Where did you hear about Canine Manners and More? 

Dog Information

Dog's Name  Dog's Age

Breed(s) Sex Male Female

Is this dog spayed or neutered? Yes No Where did this dog come from? Breeder Pet Store Rescue/Shelter Other If other, please explain

Does this dog have any known medical conditions or allergies?  For example: arthritis, hip dysplasia, ear infections, previous surgeries, etc.      Yes No   If yes, please list :

Please list what behaviors you'd like to STOP:

Please list any behaviors you'd like your dog to START doing:

 
How would you describe your dog’s interactions with people? For example: nervous, fearful, shy, hides, excitable, jumps, growls, indifferent, friendly, etc.    

 
How would you describe your dog’s interactions with other dogs? For example: tentative, friendly, fights, hides, ignores, etc.

Has this dog ever bitten a human or another dog and what was the result of the bite?  (Bruising, puncture wounds, scratch, sutures, no visible mark, etc.   No Yes

If yes, please explain:

Is your dog crated when you’re not at home?  Yes No

Is your dog permitted on the furniture and/or bed?  Yes No                                          

Can you take the food bowl away from your dog during a meal? Yes No   

Can you take chewies, bones, treats and/or toys away from your dog?  Yes No

By clicking the submit button, you agree you have read and understand Canine Manners and More appointment cancellation  policy.