New Dog Profile GENERAL Which class are you registered for? Owner Name:*FirstLast Phone Number: Area Code - Phone Number Email:* Confirm Email:*DOG INFORMATION Dog Name:* Breed: Sex:Male (intact)Male (neutered)Female (intact)Female (spayed) Weight: Birth Date: How long have you had this dog? Prior Training How did you hear about us? (Please be specific if referred by an individual or business so we can thank them!) What do you like most about your dog? What would you especially like your dog to learn in this class? 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) 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)BITE HISTORY B1: How many times has your dog been harmfully bitten by other dogs? (Select 0 if none)*Select value0 (none)12 to 56 to 10more than 10 Was it due (select one)overzealous playaggression How much damage was done to your dog?Select valueNone pain onlyBruiseMinor ScratchPuncture woundOpen tear in fleshMedical attention needed (describe below) Other comments (bitten by other dogs) B2: How many times has your dog harmfully bitten other dogs? (Select 0 if none)*Select value0 (none)12 to 56 to 10more than 10 Was it due (select one)overzealous playaggression 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) B3: How many times has your dog harmfully bitten people? (Select 0 if none)*Select value0 (none)12 to 56 to 10more than 10 Was it due (select one)overzealous playaggression 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) reCAPTCHASubmitReset
