Training Request - Lucky K9s

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Cell Phone Number

E-mail

As an adult have you owned dogs before?

Yes
No

About Your Dog

long your many

Dog's Name

Breed

Dog's Age

Dog's Sex Pick one

Female Spayed
Male Neutered
Intact Male or Female

How did you obtain your dog?

How long have you owned the dog?

How many hours in the day does your dog stay alone?

Where does your dog spend most of it's time?

Problem Areas

Please answer yes or no to the following. Answer 'Yes" if the answer is sometimes.

Does your dog have accidents in the house?

Yes
No

Does your dog pull on the leash?

Yes
No

Does your dog NOT listen to commands?

Yes
No

Does your dog jump up on you or other people?

Yes
No

Does your dog growl or show signs of aggression toward people?

Yes
No

If yes, Who?

Does your dog growl or show signs of aggression toward family members?

Yes
No

Which family member and age

Does your dog growl or show signs of aggression toward dogs?

Yes
No

Does your dog show any aggression with food or toys?

Yes
No

Has your dog ever bitten someone?

Yes
No
If yes, explain please

If yes, Who?

Training Experience

Has your dog had any previous training?

Yes
No

If yes, what type of training

Self taught
Group class
One on One
In kennel boarding training

What type of collar do you use to walk your dog?

Additional Information

How did you hear about Lucky K9s?

Please list the name or Private Party

Which Training program are you interested in?

Any other information you would like to us know about your dog?

Training Request Application

About Your Dog

Problem Areas

Training Experience

Additional Information