Training Profile

Owner Information

* Indicates required field

Date *

First Name *

Last Name *

Email *

Physical Address (street, city, state and zipcode) *

Telephone Number *

Emergency Contact *

Please list the names and ages of all individuals residing within the household. *

Please list your occupation and the estimated time spent away from the home (work schedule, etc). *

Please list the name, telephone number and complete address of your dog's veterinarian. *

Who referred you to us? (if none, enter N/A) *

Dog's Information

Primary dog of concern - Dog's name, breed, gender, age and approximate weight *

Has the dog ever had any previous formal training? If yes, include name/location of previous training facility, methods used, commands learned, etc. *

How long have you owned this dog? *

Where/how/when was this dog obtained (example, purchased, adopted, found as stray, etc)? *

Is the dog housebroken? *

What percent of the time does the dog spend inside? What percent of time does the dog spend outside? *

List any other pets/animals in the home *

List any known medical conditions, physical injuries, or current limitations of the dog. *

List any medications the dog is currently taking. *

Is the dog current on vaccinations (proof will be required)? *

Is the dog spayed/neutered? *

Where does the dog sleep at night? *

Please list the brand of dog food you feed your dog. *

How many times per day do you feed your dog? *

Please enter the time of feedings/waterings. *

How much food does your dog eat per meal? *

Please list the frequency and brand of any treats or snacks given. *

Describe the type of exercise (if any) your dog gets. (Include type, frequency, etc.) *

List all individuals (within the home or outside of home) who have direct interaction/involvement with the dog on a regular basis. *

BEHAVIORAL SECTION
Does Your Dog:

Does your dog have any issues being touched (example, paws, ears, etc)? *

Have any issues being handled (picked up, hugged, etc.)? *

Bite or use it's mouth on people when challenged or afraid? *

Pull on the leash? *

Jump on you, family members or guests? *

Get "mouthy" with people when excited, bored or playing? *

Is your dog crate trained? *

If crate trained, how long is your dog crated during daylight hours? *

Describe your dog's typical day, from morning until bedtime. *

Does your dog mark/soil indoors? *

Exhibit submissive or excitement urination? *

Chew on furniture or forbidden items? *

Steal items such as socks, shoes, or food off of countertops? *

Display any possessive, obsessive or OCD behaviors? *

Get "jealous" or excited when you give attention to another dog/person? *

Display guarding/aggression around food or food bowls? *

Display guarding/aggression with toys, bones, rawhides, chews, etc? *

Have issues with people or animals beyond your fence or property line? *

Become "grumpy" when woken up or disturbed when sleeping? *

Follow you (or anyone else) from room to room? *

Frequently engage in attention-seeking behaviors? *

Have any problems when left alone? *

Have any problems when crated? *

Have difficulty listening to you, such as coming when called? *

Lay on you, lay in front of you, or sit/lay on your feet? *

Lean it's shoulder, body, rear-end or tail against your lower leg? *

Hide under or behind items like chairs or tables? *

Is your dog tense, nervous, skittish, anxious or fearful? *

Mark (pee) frequently on walks? *

React poorly to other dogs or distractions on leashed walks? *

Weave, cut in front, or exhibit erratic behavior on walks? *

What is/are the main issue or issues you would like addressed during training? *

Submit

Northshore Canine Academy

Owner Information

Dog's Information

BEHAVIORAL SECTION
Does Your Dog:

Contact NCA Today!

Find us on Facebook!

Telephone

Email

Northshore Canine Academy

Owner Information

Dog's Information

BEHAVIORAL SECTIONDoes Your Dog:

Contact NCA Today!

Find us on Facebook!

Telephone

Email

BEHAVIORAL SECTION
Does Your Dog: