Puppy Camp Profile GENERAL Owner Name:*FirstLast Address:* Street Address City State / Province / Region Postal / Zip Code Day Phone:* Area Code - Phone Number Evening Phone: Area Code - Phone Number Email:* Confirm Email:* Which program are you interested in:Puppy Genius (4 weeks)Puppy PhD (8 weeks)Puppy Prodigy (12 weeks)Help me decide How did you hear about us? (Please be specific if referred by an individual or business so we can thank them!) Names and ages of all humans living in the home Names, ages, and breeds of all other animals living in the houseDOG INFORMATION Puppy Name:* Breed: Birth Date: Sex:Male (intact)Male (neutered)Female (intact)Female (spayed) Weight:BITE HISTORY How many times has your dog harmfully bitten people? (Select 0 if none)*Select value0 (none)12 to 56 to 10more than 10 How much damage was done to person?Select valueNone pain onlyBruiseMinor ScratchPuncture woundOpen tear in fleshMedical attention needed (describe below) Other comments (bitten other people) How many times has your dog harmfully bitten other dogs? (Select 0 if none)*Select value0 (none)12 to 56 to 10more than 10 How much damage was done to other dog?Select valueNone pain onlyBruiseMinor ScratchPuncture woundOpen tear in fleshMedical attention needed (describe below) Other comments (bitten other dogs)MEDICAL HISTORY Veterinarian: Vet's Phone: Area Code - Phone Number Vet's Address: Does your dog have any health problems that we should know about? Does your dog have any food allergies or sensitivities?*YesNo If Yes , describe allergies/sensitivities: Does your dog have any history of GI issues? *YesNo If Yes, describe GI issues:PRIOR TRAINING Does your dog have any prior training?*YesNo Training done:At HomePuppy ClassBeginning Obedience ClassBoard/TrainPrivate LessonsAlready trained when we got him/her Other training comments: Name of other trainers/training businesses you have used: What does your dog know?SitLie DownOffStayHeelComeShake/PawKennel upLeave itDrop itCatch Have you ever used any of the following training tools or methods?ClickerTreat/Food RewardsToy RewardsHarnessHead HalterMuzzleChoke CollarProng CollarRemote (shock) collar for trainingRemote (shock) collar for barkingInvisible Fence/Shock collar for confinementCitronella collarSonic collar for barkingAlpha rollsSpray (water) bottlePenny/Shaker canGrabbing dog's scruff or jowlsHISTORY Where did your dog come from? How long have you had your dog? Is this your first dog?*YesNo Why did you choose this dog? What type of food do you feed?KibbleCannedHomemade diet Brand of food: How many times a day is your dog fed? Is this your dog free-fed?*YesNo How much do you feed at each meal? What time(s) is your dog fed? Does your dog get "people food"?*YesNo What types of treats, cookies, and/or chews does your dog enjoy and how often? Is your dog housetrained?*YesNo Is your dog crate-trained?*YesNo If your dog has "accidents", please describe circumstances: Dog's Favorite Toy is: Dog's Favorite Treat is: Dog's Favorite Activity: What do you like best about your dog? How does your dog typically behave around new people? (check all that apply)High, wagging tailTail TuckedLikely to run forwardCrouchesLikely to jump upEars backVery playfulNervous/afraidPushy/in their faceLikely to ignoreLikely to barkStiffLikely to growlLevel, wagging tailLikely to nip/biteEars forwardLikely to attackLikely to walk forwardProtective of youSomewhat playfulProtective of toysWigglyProtective of foodLikely to whine Other comments(people) How does your dog typically behave around new dogs? (check all that apply)High, wagging tailTail TuckedLikely to run forwardCrouchesLikely to jump upEars backVery playfulNervous/afraidPushy/in their faceLikely to ignoreLikely to barkStiffLikely to growlLevel, wagging tailLikely to nip/biteEars forwardLikely to attackLikely to walk forwardProtective of youSomewhat playfulProtective of toysWigglyProtective of foodLikely to whine Other comments (dogs) Is there anything else you think is important for us to know? reCAPTCHASubmitReset
