Kelsey’s Canine Academy Training Application To get started, please fill out the form below. If you have more than one dog please complete a form for each dog! Name * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country How did you hear about us? * Facebook Friend Web search Instagram Other If other, please briefly explain. What type of home do you live in? * Single Family Apartment Condo/Duplex Multi-Family Renting a room How many adults live in household? * How many kids in household? Age? * Other pets in household? * please provide species, Number of each, and if other dogs; breed, age, sex. Dogs Name * Breed, Age, Sex, & Weight * Dog's origin * Breeder Shelter Other If other, provide explanation. Is the dog altered? * Spay or neutered Yes No How long has the dog been with you? * If the dog has not been with you since a puppy, please provide any known background. Veterinary Name * Veterinary Phone * (###) ### #### Any medications? * Yes No If yes, please provide medication type, dose, and time of day given. Any allergies * Yes No If yes, please list allergies. Please list any other important medical information we should know about. What type of food does your dog eat? * Brand, amount, and feeding schedule. What service(s) are you interested in? * Why are you seeking training for your dog? * Has your dog had prior training? * Yes, Professional Yes, Self training No If yes, please explain. Is your dog crate trained? * Calm and quiet while in crate or kennel Yes No Is crated but not calm and quiet. Where does your dog sleep? * Crate/Kennel In my bed Wherever my dog wants Does your dog interact well with childern? * Yes No Is your dog food aggressive? * Yes, with dogs Yes, with people Yes, with both people and animals No Is your dog aggressive when you try to take their toys? * Yes No Has your dog ever bitten a person or other dog? * Yes, a person Yes, another dog No If you are required to muzzle condition your dog prior to training, are you open to this? * Yes No Do you have anything to add about your dog's behaviors? If your dog exhibits any aggressive behavior, please explain these behaviors. Please check all that apply to your dog. * Has accidents in home Does not do well with grooming (nails clipped, bathed, or brushed) Hyper/overexciteable Has to be muzzled at the vet Whines/barks in crate Mounts objects or people Mounts other dogs Play bites Destructive chewing Digs in yard Shy Jumps on people Growls at people Aggressive towards dog Nuisance barker/whiny Urinates when excited/scared Gaurds toys/food/space/people Countersurfs Doesn't come when called Bolts through doors Pulls on leash Stresses easily Jump on furniture Has seperation anxiety Has bitten an animal/person Have you tried to stop any of these behaviors? How? * What commands does your dog follow at least 90% of the time? * I understand that Kelsey's Canine Academy uses all types of training tool to train dogs. (Prong Collars, Slip leads, E-collars, ect.) * Yes I am aware that training is continues for the life of the dog. Training with Kelsey's Canine Academy is a headstart for me and my dog to build a lasting relationship. I understand the Dog training is a lifestyle, not a quick fix and I understand that it is a team effort. I will embrace the changes needed to be made at home for my dog and I to be successful, long term. * Yes! I am ready to strengthen the relationship with my dog! I'm too busy to work with my dog. Thank you!
