a very gem k9

training request form

Please fill out this form so I can get to know you and your pup!  I will be in contact very soon to set up appropriate sessions!
Name Phone E-mail Address Dogs Name Dog Breed *Best Guess
Where did the dog come from?
Rescue/Shelter
Breeder
Other Rehoming Situation
How old was the dog when you got it? *approx How long have you had the dog? Please list the ages of kids in the home Please list Breed, Age, & Size of other dogs within the home
Is your dog potty trained?
Yes
Has occasion accidents or marks randomly
Has frequent accidents or working on potty training
Is your dog comfortable in a crate?
Goes in willingly and is quiet and calm
Barks/whines for 10-15 min or less and then settles
Barks on and off for the duration
Barks/whines/screams/scratches at or bites the crate
History of medications - name, what is it for, how long has pup been on it? Any food allergies (so we can use appropriate treats)
Areas you would like to have worked on?
Sit, Down, Stay, Touch
Loose leash walking
Leave it/Drop it
Door Thresholds
Recall
Resource Guarding
Leash Reactivity
Dog Reactivity
Human Reactivity
Barking (nuisance not reactivity)
Details on what you would like to see improvement on
Does your dog show reactivity, fearful, running away, avoiding behaviors to any of the following?
No Reactivity - Looking for obedience work
Dogs
Other animals
Men
Woman
Kids
Cars/Motorcyles
Fireworks/Storms
Bikes/Scooters/Skate Boards
Leash Reactive
Kennel Anxiety
Separation Anxiety
Resource Guarding
Other *Please describe under details portion*
Bite History - Has this dog ever bit or attempted to bite at any humans or animals? If yes - we will discuss all incidents in person and go farther into detail at that point. Please be honest, as I am here to help with your dog and not pass judgement.
None or basic puppy mouthing
Attempted bits(s)
Yes - Multiple occasions
Yes - A Child
Yes - An Adult
Yes - Another Dog(s)
Yes - Other Animals
Bite Severity - If the dog has bit before, what was the severity? Again - we will discus this further in detail during our session, but honesty is very important.
None
Air Snaps
Welts/Bruising with no bleeding wounds
Scratches
1 puncture
Multiple punctures
Stitches needed
Surgery needed
Death
When did the bite incidents occur? When was your dogs last Rabies Vax?
What sessions are you interested in?
I'm overwhelmed - help me!
1 hour informational guidance (you train)
Multiple in person sessions (we train)
Board and train (I train and then show you how to continue)
Basic Obedience Group
Nest Paw Obedience Group
Reactive Dog Group
Fearful Dog Group
Virtual Trianing
Quick Phone Call
Additional Details I agree to the Terms of Services, Retainers, Cancelations. Submit