New Client Application Form (If you would prefer to fill out a paper form, you can download this form and print it.) Client Information Your Name(s) (required) Email Address (required) Home Address (required) Phone (required) How many people live in the house? Ages of any children? Dog Information Name Age Sex MaleFemale Is the dog desexed? YesNo Breed Where did you get the dog? BreederShelterFoster carerPet shopOther How old was the dog when you first brought it home? If an adult, why was the dog rehomed? Are there other dogs living in the household? YesNo If yes, how many and what breeds? Do the dogs get along? If no, please give some details: How often does the dog get exercised outside of its property (e.g. walk or dog park)? More than once a dayOnce a day2-3 times a weekOnce a weekOccasionallyNever How long is each session? How often does the dog get exercised inside the property (e.g. games, training session)? More than once a dayOnce a day2-3 times a weekOnce a weekOccasionallyNever How long is each session? How confident is your dog? Very confidentConfidentShy and/or fearful Is your dog fearful or over-reactive to any of the following? (Please select all that apply) Loud noisesPeopleChildrenFamiliar dogsUnfamiliar dogsOther animalsMachineryOther (specify below) Other: Briefly describe the reaction – more fight or more flight? Behavioural Problems Describe any behavioural problems your dog has: How often do the behaviour(s) occur? Many times a dayOnce a dayWeeklyMonthlyRarely When was the most recent occurrence of the behaviour(s)? When did the dog first show signs of the behaviour? What has been done so far to try to improve the problem behaviour? What Results Would You Like to See? Please outline, if you can, some results you would like to see in your dog following our training sessions. For example: a perfect sit; walking well on leash... and any other details you feel will be useful for me to know that aren't already on this form. Thank you.