Intake Form - Board and Train Program Name * First Name Last Name Email * Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Number of People in Your Household? Any Children? House? Apartment? Do you have backyard access? Dog'(s) Name and Age? Breed? M/F? Spayed/Neutered? How long have you had your dog for? Where did you get your dog from? Is this your first dog? Where does your dog sleep at night? Is your dog crate trained? How do they do in the crate? Any other pets in the home? What training methods/classes have you tried with your dog so far? Have you ever done an intensive board and train/bootcamp program before? If so, briefly explain the results. What is the amount of time you are typically gone during the day? Do you visit dog parks or do dog daycare? Do you have off leash goals for your pup and want reliable recall? Is your dog fearful or aggressive towards other dogs? If yes, are there certain dogs they do get along with? Has your dog ever bitten or injured another dog? Explain: Is your dog fearful or aggressive towards people? If yes, explain: Has your dog ever growled, bared teeth, snapped or bitten adults or children? If yes, explain: If you have guests come into your house, what does your dog typically do? Does your dog react negatively at the vet or groomer? Is so please give a brief explanation. In detail, please describe what challenges you are currently having with your dog: In a perfect world if you could fix all the issues you are struggling with tomorrow - what would that look like?: What is your success criteria? Explain in detail what results you would like to see that would determine your objective/goal has been achieved or is successful after training: Where did you hear about us? Thank you!