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Enrollment Form

Please fill out the below form to enroll in any of our wide range of dog training courses. If you have any questions relating to this form please feel free to contact us.

Which Course / Location

Please choose a course and location that you are interested in enrolling to. Click here to see the list of courses and locations.

Information about you

Name/s:
Address:
Home Phone:		Work Phone:
Email:
Do you have children at home?
If yes, what are their names and ages?
Have you owned a dog before?
Have you attended any training with a dog before?
Which of the following have you used whilst training your dog/s? Please select all that apply
Choke/Check Chain		Treats
Electronic Collar		Praise
Citronella Collar		Petting
Standard Collar		Punishment
Head Halter		Toys
Body Harness

Information about your dog

Name:		Breed:
Age:		How long have you had this dog?
Sex:		Is he/she desexed?
Where did you get your dog from?
Is this your only dog?
If 'no', please state Breed, Age and Sex of other dog(s):
Please Indicate how the following statements apply to your dog:
Accepts approaches from friendly strangers
Sits politely to greet people
Is sociable with, yet able to ignore other dogs
Settles quickly when requested
Responds to name with eye contact
Lies down beside and in front of you when requested
Comes when called
Stays in position for at least 5 seconds when requested
Able to ignore low level distractions when requested
Walks without pulling on a lead
When you are at home is your dog:
When your dog is home alone, is it:
How much time do you spend with your dog each day?
Do you exercise your dog daily? (time alone in the backyard does not count!)
Please check every box below that applies to your dog:
Has bitten someone		Pushy
Protective		Barks excessively
Chews a lot		Likes retrieving
Anxious when alone		Independent
Likes new people		Fearful of men
Destructive		Likes other dogs
Likes to be with you a lot		Unruly in car
Plays too roughly		Fearful of water
Chases things		Sits in front seat of car
Has bitten another dog		Has growled at people
Has growled at another dog		Fearful of other dogs
Does not come when called		Digs a lot
Has excess energy		Shy with strangers
Stubborn		Dislikes grooming
Jumps on people		Pulls on lead
Seeks attention		Bites hands, clothes, bodies
Likes children		Fearful of noises/storms
Won't bring balls/toys back		Toilet trained
Do you or your dog have any medical conditions that may affect your participation in a training program (Please list)?

List what you would most like to achieve with training. Please be more specific than 'An obedient dog':

Any other comments you would like to make?

I have read and agree to follow the Ground Rules

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