Contact – Good K9 Institute

Full Name

Address Line 1

Address Line 2

City, State & Zip Code

Phone

How many adults live in the home with the dog?

How many children live in the home with the dog? What are their ages?

What other pets live in your home (species/age/sex)?

Dog's Name

Dog's breed, sex, age, and weight

Dog's origin (breeder/shelter/other)

Is your dog fixed?

Yes No

How long has your dog been in the family?

Veterinarian's Name

Veterinarian's Phone Number

Is your dog on medication?

If yes, please list: medication, dose, and time of day given

Does your dog have any allergies?

Yes No

If yes, please list allergies here. Also, list any other important medical information we should know about.

What type of food does your dog eat and what is your feeding schedule?

Is your dog crate trained? (This means calm & quiet in the crate/kennel.)

Yes No

Does your dog have accidents in the crate?

Yes No

Does your dog sleep in your bed?

Yes No

Does your dog sleep in a kennel?

Yes No

Will you be comfortable following Good K9's recommendation of crating/kenneling your dog, at night, & when you're not home, when they return from training?

Yes No

Does your dog interact well with children?

Yes No

Does your dog interact well with other pets?

Yes No

Is your dog aggressive when people approach his/her food?

Yes No

Is your dog aggressive when people try to take his/her toy away?

Yes No

Has your dog ever bitten another person/animal?

Yes No

If Good K9 requires you 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 provide details regarding his/her behavior.

How have you tried to stop your dog's unwanted behavior?

Which command words does your dog follow at least 90% of the time?

What do you hope to accomplish with your dog during training? What are the most important things we can teach your dog to help you enjoy your pet to the maximum?

Photo/Video Release I hereby assign and grant to Good K9 Institute the right and permission to use, reproduce, distribute, and publish the photograph(s), film(s), videotape(s), audio and video recording(s), electronic representation(s) and/or sound recording(s) made of me and/or my dog(s) at any time during the training and/or boarding of my dog(s) by Good K9 Institute, and I hereby release Good K9 Institute from any and all liability resulting from such use, reproduction, distribution, and publication. Please write your name and initials, indicating that you have read these terms and Agree to this Photo/Video release Agreement.

I am aware that any Board & Train program is a head-start to all the continued work my dog & I will have when they return home. Dog training is a lifestyle, not a quick fix and I understand this is a team effort. I will embrace the changes needed to be made at home for my dog & I to be successful, long term.

I Agree

Training Application