Northshore Canine Academy
Home
About Us
FAQ's
Training Programs
Boarded Training
Day Training
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Virtual Private Lessons
Dog Daycare
VIP Boarding
Contact us
Home
About Us
FAQ's
Training Programs
Boarded Training
Day Training
Private Lessons
Virtual Private Lessons
Dog Daycare
VIP Boarding
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