Northshore Canine Academy
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Virtual Lessons
Contact us
Home
About Us
FAQ's
Training Programs
Boarded Training
Day Training
Private Lessons
Virtual Private Lessons
Dog Daycare
VIP Boarding
Virtual Lessons
Contact us
Owner Information
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Indicates required field
Date
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First Name
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Last Name
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Email
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Physical Address (street, city, state and zipcode)
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Telephone Number
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Emergency Contact
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Please list the names and ages of all individuals residing within the household.
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Please list your occupation and the estimated time spent away from the home (work schedule, etc).
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Please list the name, telephone number and complete address of your dog's veterinarian.
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Who referred you to us? (if none, enter N/A)
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Dog's Information
Primary dog of concern - Dog's name, breed, gender, age and approximate weight
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Has the dog ever had any previous formal training? If yes, include name/location of previous training facility, methods used, commands learned, etc.
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How long have you owned this dog?
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Where/how/when was this dog obtained (example, purchased, adopted, found as stray, etc)?
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Is the dog housebroken?
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Yes
No
What percent of the time does the dog spend inside? What percent of time does the dog spend outside?
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List any other pets/animals in the home
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List any known medical conditions, physical injuries, or current limitations of the dog.
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List any medications the dog is currently taking.
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Is the dog current on vaccinations (proof will be required)?
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Yes
No
Is the dog spayed/neutered?
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Yes
No
Where does the dog sleep at night?
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Please list the brand of dog food you feed your dog.
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How many times per day do you feed your dog?
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Please enter the time of feedings/waterings.
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How much food does your dog eat per meal?
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Please list the frequency and brand of any treats or snacks given.
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Describe the type of exercise (if any) your dog gets. (Include type, frequency, etc.)
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List all individuals (within the home or outside of home) who have direct interaction/involvement with the dog on a regular basis.
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BEHAVIORAL SECTION
Does Your Dog:
Does your dog have any issues being touched (example, paws, ears, etc)?
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Yes
No
Have any issues being handled (picked up, hugged, etc.)?
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Yes
No
Bite or use it's mouth on people when challenged or afraid?
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Yes
No
Pull on the leash?
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Yes
No
Jump on you, family members or guests?
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Yes
No
Get "mouthy" with people when excited, bored or playing?
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Yes
No
Is your dog crate trained?
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Yes
No
If crate trained, how long is your dog crated during daylight hours?
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Describe your dog's typical day, from morning until bedtime.
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Does your dog mark/soil indoors?
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Yes
No
Exhibit submissive or excitement urination?
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Yes
No
Chew on furniture or forbidden items?
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Yes
No
Steal items such as socks, shoes, or food off of countertops?
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Yes
No
Display any possessive, obsessive or OCD behaviors?
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Yes
No
Get "jealous" or excited when you give attention to another dog/person?
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Yes
No
Display guarding/aggression around food or food bowls?
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Yes
No
Display guarding/aggression with toys, bones, rawhides, chews, etc?
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Yes
No
Have issues with people or animals beyond your fence or property line?
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Yes
No
Become "grumpy" when woken up or disturbed when sleeping?
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Yes
No
Follow you (or anyone else) from room to room?
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Yes
No
Frequently engage in attention-seeking behaviors?
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Yes
No
Have any problems when left alone?
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Yes
No
Have any problems when crated?
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Yes
No
Have difficulty listening to you, such as coming when called?
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Yes
No
Lay on you, lay in front of you, or sit/lay on your feet?
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Yes
No
Lean it's shoulder, body, rear-end or tail against your lower leg?
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Yes
No
Hide under or behind items like chairs or tables?
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Yes
No
Is your dog tense, nervous, skittish, anxious or fearful?
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Yes
No
Mark (pee) frequently on walks?
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Yes
No
React poorly to other dogs or distractions on leashed walks?
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Yes
No
Weave, cut in front, or exhibit erratic behavior on walks?
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Yes
No
What is/are the main issue or issues you would like addressed during training?
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Submit