Owner's Name*

Address*

What Type Of Home Do You Live In?
Farm houseAppartmentSingle Family Home

Phone Number*

Email Address *

Dog's Name*

Breed*

Dog's Date of Birth*

Sex
MaleFemale

Neutered or Spayed
NeuteredSpayed

Age Obtained

Where Obtained

Other pets in house (breed, age, sex)

Please list name, age, and relationship of every member of your household

Who will be the primary handler?

What does your dog know how to do?

Goals for training

Has your dog ever bitten, nipped/snapped at, or growled at a person before? (if yes, please explain)

Has your dog ever growled at, bitten, nipped/snapped at, or fought another animal before? (if yes, please explain)

Has your dog ever shown possession aggression?

How did you hear about Healthy Tails Academy?

What Training are you interested in at Healthy Tails Academy?
Puppy KindergartenGroup ClassesPrivateWorkshopsDog Camp