Name
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First Name
Last Name
Email Address
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Phone
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(###)
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Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
How many adults live in your home?
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Do any children live in the home or frequently visit? What are their ages (age range)?
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Do you have any other pets in the home or that frequently visit?
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Is your dog spayed/neutered?
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Yes, my dog is spayed/neutered
No, but it will be done before I begin any services
No, my dog isn't old enough
No, we don't plan on spaying/neutering our dog
Medical Information
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Including recent injuries or surgeries, chronic illnesses, medications with dosage amounts, allergies (environmental or food), and any special instructions.
Vaccination Records & Proof of Spay/Neuter
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Current vaccination records from your veterinarian must be on file at time of service. Please scan or take a picture of these documents and attach them to a separate email with your dog's name in the subject line. We will not admit any dog without proper identification/rabies tags, vaccination records, and signed agreements.
Please acknowledge you have read the following statement and will send a copy of these records to tara@hatcreekdogtraining.com.
Yes, I will send the email before the start of services
No, I would like to discuss vaccinations prior to signing up for services
Is your dog completely potty trained?
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Potty trained means: goes outside to potty, has no accidents indoors or in the crate, and does NOT use a potty pad.
Yes
No
Is your dog house trained?
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House training means: no rushing through open doors, no chewing, climbing, jumping, or destroying of household items.
Yes
No
Is your dog crate trained?
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Crate trained means: 1) your dog willingly enters and exits his crate on command, 2) will stay in his crate for an extended period of time when you're home and when you're gone, 3) is used to sleeping in his crate at night, and 4) is quiet in the crate, no whining, barking, or scratching to get out of the crate.
Yes
No
What is your dog's current daily exercise regimen?
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Describe the activity, schedule, duration/distance
Is your dog comfortable around new people, new dogs, and new environments? How often does your dog get out in public?
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Please explain if not.
Does your dog jump over or dig under fences, or attempt other means to escape the yard?
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Please describe if yes.
Does your dog consistently obey commands (with little/no coercion or bribery)?
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Yes, all the time, regardless of reward or distraction
Maybe sometimes, if I have a treat, toy, or yell at him
No, he never listens
Has your dog been through previous training?
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What worked for you? What didn't work for you?
Please list any and all training tools you've used with your dog. What was the most successful?
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buckle collar & leash, Halti, K9 Lifeline Transitional leash, harness, invisible fence, prong collar, gentle leader, remote collar, etc.
Does your dog have separation anxiety?
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Separation anxiety means: your dog whines, barks, or is destructive in any way when he is separated from you for any amount of time, he pants or drools excessively when he's in his crate, he barks or whines when in his crate, he follows you everywhere in the house and is always underfoot.
Yes
No
I don't know
Does your dog have any fears?
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Examples: humans in general, men, women, children, other dogs, other animals, thunderstorms, fireworks, sirens, loud noises in general, vehicles, his crate, other. Please explain in detail.
Does your dog guard, growl, bark, or lunge at other dogs or humans, especially children?
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Example: The dog guards/growls when you or others approach his food, toys, bed, or crate. Or growls when you try to remove him from bed or furniture. Or lunges/recoils from human touch or approaching dogs.
Has your dog ever bitten another dog or human regardless of severity or reason?
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A bite means: your dog has put his mouth on someone or some animal and bruised, scratched, puncture, torn, or in any way maimed that person or animal. Please describe the event(s) and severity. Example: chases, herds, nips, or attacks children, other dogs, small animals, or livestock.
Has your dog ever bitten the vet or vet tech?
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Please describe a typical vet visit.
How can we help you?
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Desired Service
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Basic Training - Two Month
Advanced Training - Four Month
Play Training - individual session
Other
Help me choose
Desired date to begin service
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Please call or email for availability.
MM
DD
YYYY
Photo & video release statement
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Our clients love to see their dog's training and daily updates on film so they can review it in the future and share it with family and friends on social media. We take lots of pictures and videos of the dogs that we work with and then use that footage to make weekly how-to-train-your-dog videos. We find these videos are highly beneficial to our clients as well as other struggling dog owners all across the country. Please let us know if you would like to participate by granting us permission to film and photograph you and your dog while in our care.
Yes, I would like to participate
No, not at this time
Application Acknowledgement
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By typing your name below you agree to the following statement: "I am familiar with Hat Creek Dog Training's training methods, tools (slip lead, transitional leash, e-collar/remote collar, prong collar, etc), programs, prices, and expectations."
First Name
Last Name