Board and Train Registration

Board and Train Registration

Handler's Information

Handler's Name
Home Phone
Cell Phone
Email

Address
City
State
Zip

Dog Information

Dog's Name
Dog's Age
Dog's Sex

Breed of Dog
Vet's Name
Vet's Phone

Dog Temperment

With strangers is your dog ---Select One---FriendlyReservedFearfulAgressive
Is your dog: (Check all that apply)
Protective of familyProtective of propertyOveractiveStartled by loud noise (away from home)Startled by sudden movements (away from home)Sluggish

Has your dog:
Ever bitten anyone? ---Select One---YesNo
Nipped children in play? ---Select One---YesNo
Wet when excited? ---Select One---YesNo
Wet when punished? ---Select One---YesNo

What distracts your dog the most? Other dogsFoodKids/PeopleOther
What games does your dog like?
BallTug-of-warOther

Environment

Is your dog: (Check all that apply)
Kept in a fenced yardOn a chainUse a crateIn the country, no fenceAllowed in the houseDoes he jump fences
Does your dog:
Use a dog houseHave toysGo for walksDig to get under fencesRide with youStay in a dog run (or like)Have tick and flea protection

How many?
Adults
Children
Ages?
Other dogs
Other pets

What do you feed the dog?
When do you feed the dog?

Bed Time
Wake Time

Do you:
Physically correct him? ---Select One---YesNo
Verbally correct him? ---Select One---YesNo

Background

Has there been any changes in your routine?
New job with different hoursA child starting schoolA child leaving homeA death in the familyA death of a petVisiting relativesMarriageDivorceA new babyNew petsWent to see his/her parents

Where did you get him/her:
From a homeFrom a breederFrom the Animal Shelter
What age?

Has he/she ever been:
MistreatedBoarded outStolenObedience TrainedHousebroken

Medical History

Has your dog ever
Had major illness
Had major injury
Date of last vaccination
Date of Rabies shots
Date of Bordetella
Been wormed by the Vet
When?

Had or Sired puppies
Been spayed/neutered
Had a false pregnancy
Refused to eat

Is your dog:
OverweightUnderweightOn medication

Does your dog:
Vomit sometimes? ---Select One---YesNo
Cough much? ---Select One---YesNo
Sneeze much? ---Select One---YesNo
Have gas much? ---Select One---YesNo
Scratch much? ---Select One---YesNo
Chew on his feet? ---Select One---YesNo
Have regular seasons? ---Select One---YesNo

Training

Please check bad habits you would like to resolve
Jumping on peopleChewing things in yard or houseDigging holes in yardRuns in or out of house, car, gate, or doorsEats cat’s foodRowdy or wrestling in houseGets on furnitureBegging when anyone is eatingExcessive barkingCrosses boundaries in house or yardJumps fencesNips, licks, sniffs, or paws peopleMisbehaves in carChases children at playNot housebrokenTakes food from tableChases the cat

List any other behavior modifications desired

Please check good behavior or commands you would like your dog to learn
Sit, stayTravel well in carStand for groomingBark when someone comes to your houseDown stayHeel nicely at your sideCome when calledWait at doorwaysSleep out at nightGo to his place in house, stay there until you say “OK”Sleep in at night

Finished!

By continuing, you agree to the following:

Thank you for choosing GUARANTEED DOG TRAINING to care for your dog. We will do our best to make his (her) stay a safe and happy one. If your dog stays with us for two or more weeks, you may attend any of the classes given by GUARANTEED DOG TRAINING free of charge.

In order for us to care for your dog we must be assured that his shots are current and his health is good. Your signature below will assure us of this and will also release GUARANTEED DOG TRAINING of responsibility for any unforeseen event involving your dog.

I understand that it takes at least 12 weeks of conditioning a dog in controlled situations
in order to keep his new good behavior patterns. Therefore, I agree to follow the instructions given me at my handling lesson when my dog is returned to me.

Check this box if you agree to the above terms