1

Owner / Contact Information

Primary contact for scheduling and follow-up

First name Required

Last name Required

Phone number Required

Email address Required

Home address Required

Best time to contact

Preferred contact method

Secondary / emergency contact name

Secondary contact phone

How did you hear about us?

2

Household Information

Helps us tailor training to your home environment

Number of adults in household

Number of children in household

Ages of children (if any)

Other pets in household?

Home type

House with yard House without yard Apartment / condo Rural / farm property

Approx. hours dog is left alone per day

Primary dog caretaker

Will all household members participate in training?

Yes No Some members

3

Dog Information

Basic profile for your dog

Dog's name Required

Breed (or mix) Required

Age Required

Sex

Weight (approx.)

Color / markings

How long have you had this dog?

Where did you get your dog?

Dog's photo (optional)

Upload a photo of your dog — helps us identify them on arrival

4

Veterinary & Health Information

Medical history relevant to training safety

Veterinarian / clinic name

Vet phone number

Are vaccines current? Required

Yes — fully up to date Partially up to date Unknown No

Known medical conditions, injuries, or physical limitations

Current medications or supplements

Is your dog currently on flea/tick/parasite prevention?

Yes No Unsure

Has your dog seen a veterinarian or veterinary behaviorist for behavior concerns?

Yes No

5

Dog's Personality & Daily Routine

Helps us understand your dog's baseline temperament

6

Issues You Need Help With

Check all that apply — be as specific as possible

7

Previous Training History

Any prior formal or informal training

Has your dog received any previous training? Required

Yes — formal (trainer / class) Yes — self-taught / YouTube / books Both No previous training

Do you have any preferences or concerns about training methods?

8

Socialization — Other Dogs

How your dog behaves around other dogs

9

Bite History

Kept confidential — used only to ensure trainer and public safety

Important: Accurate answers in this section are critical. Failure to disclose bite history may result in termination of the training agreement. All information is handled confidentially.

10

Additional Notes

Anything else we should know before our first session

Is there anything else about your dog, your home, or your situation that you feel is important for us to know?

Behavior History

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Lakota Creek Kennels