All Dawgs Training
Dog Training, Agility, Daycare & Boarding
Serving Upstate New York since 2007
30 Railroad Ave, Albany, NY
(518) 831-9192
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School House
Diane Blackman, IACP-CDTA/PDTI, CTDI
LuAnn Charbonneau
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Registration: Household Integration
Registration: Household Integration
Household Integration
Date
*
MM slash DD slash YYYY
Which household integration package are you enrolling in?
*
Dawg-to-Dawg
Dawg-to-Cat
Are you interested in behavior modification or an evaluation?
*
Behavior Modification
Evaluation Only
Client Name:
*
First
Last
Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Phone:
*
Cell Phone:
*
Email
*
Enter Email
Confirm Email
How did you learn about All Dawgs?
*
Event
Referral
Returning Client
Social Media
Web Search
At which event did you learn about All Dawgs?
*
Who referred you to All Dawgs?
*
Friend
Pet Store
Shelter or Rescue Organization
Vet's Office
Please list their first and last name so we may thank them.
*
Which pet store referred you to All Dawgs?
*
Which shelter or rescue organization referred you to All Dawgs?
*
Which vet hospital referred you to All Dawgs?
*
What is your vet hospital's name?*
*
What's the name of the vet you see at the vet hospital?
*
May we share information with your vet regarding this issue?
*
Yes
No
Would you like to be added to our e-newsletter?
Yes
No
Dog #1 Information
Dog #1's Name:
*
Dog #1's Date of Birth
*
MM slash DD slash YYYY
Put best guess if dog was adopted
Dog #1's Breed
*
Dog #1's Gender
*
Female - Intact
Female - Spayed
Male - Intact
Male - Neutered
Where did Dog #1 come from?
*
Breeder
Newspaper/Internet Listing
Pet Store
Rescue/Shelter
How old was Dog #1 when he/she came to live with you?
*
Has Dog #1 lived with (or currently living with) another pet other than Pet #2?
Yes
No
Does Dog #1 have free access to his food during the day?
*
Yes
No
Does Dog #1 get on the furniture?
*
Yes
No
How does Dog #1 get along with those other pets?
*
How many times has Dog #1 bit another dog or person. This includes skin-contact by teeth but no skin-puncture (nipping).
*
0
1
2
3
4
5+
Muzzle Policy
*
By checking this box, I affirm I understand for safety reasons, I understand that I will be required to purchase a muzzle approved by All Dawgs and train Dog #1 to be relaxed in muzzle prior to the first lesson. The muzzle must be worn until my trainer grants its discontinued use. I understand that failure to follow this safety protocol may cause training may be discontinued without any refunds.
Is Dog #1 involved in dangerous dog court proceedings?
*
Yes
No
When is your scheduled court date?
*
MM slash DD slash YYYY
What are your goals for Dog #1 one year from now?*
Pet #2 Information
Pet #2 Name:
*
Pet #2 Date of Birth
*
MM slash DD slash YYYY
Put best guess if the pet was adopted
Pet #2 Species:
*
Dog
Cat
Pet #2 Breed
*
Where did Dog #2 come from?
*
Breeder
Newspaper/Internet Listing
Pet Store
Rescue/Shelter
How old was Dog #2 when he/she came to live with you?
*
Has Pet #2 lived with (or currently living with) another pet other than Dog #1?
*
Yes
No
How did/does Pet #2 get along with those other pets?
*
Does Dog #2 have free access to his/her food during the day?
*
Yes
No
Does Dog #2 get on the furniture?
*
Yes
No
How many times has Dog #2 bit another dog or person. This includes skin-contact by teeth but no skin-puncture (nipping).
*
0
1
2
3
4
5 or more
Muzzle Policy
*
By checking this box, I affirm I understand for safety reasons, I understand that I will be required to purchase a muzzle approved by All Dawgs and train Dog #1 to be relaxed in muzzle prior to the first lesson. The muzzle must be worn until my trainer grants its discontinued use. I understand that failure to follow this safety protocol may cause training may be discontinued without any refunds.
Is Dog #2 involved in dangerous dog court proceedings?
*
Yes
No
When is your scheduled court date?
*
MM slash DD slash YYYY
What are your goals for Dog #2 one year from now?
*
Aggression Information
Are these two pets currently living together now or are you seeking assistance introducing these two pets together?
*
Living Together Now
Introducing Pets
How long has Dog #1 lived with you?
*
How long has Dog #2 lived with you?
*
When will these two pets begin living together
*
MM slash DD slash YYYY
approximate date if exact date is not known
What is your concern about these two pets living together?
*
Which pet starts these confrontations?
*
How long has these issues been going on?
*
The confrontations happen (check all that apply)
*
Around Food
Around Toys or other objects
In certain locations
Around certain people
Other
When does these confrontations happen around food?
*
What objects cause confrontations between these two pets?
*
Where does these confrontations happen?
*
Around which person does these confrontation happen?
*
Please describe what triggers issues between these two pets.
*
Please explain an typical confrontation between these two pets..
*
Have you worked with another trainer regarding Dog #1 & Pet #2's living together peacefully?
*
Yes
No
Who have you worked with in the past on this issue of them living together peacefully?
*
What has been done to address the living together issue so far (either with another trainer or on your own)? Please describe the results.
*
Has either Dog #1 or Pet #2 had issues with non-household animals in the past?
*
Yes
No
Which pet has had past issues with other animals (check all that apply)
*
Select All
Dog #1
Pet #2
Please explain past issues with Dog #1.
*
Please explain past issues with Pet #2.
*
What percentage of the time can these two pets be together without any incidents?
*
Why are you seeking to address this issue now?
*
Please give any other information that might be helpful.
Continued Reinforcement Policy
*
By checking this box, you affirm you understand that without continued reinforcement and consistency from the Owner, training results will not be permanent.
Consent
*
By checking this box, you acknowledge that you understand there is a no cancelation policy for lesson appointments. This includes reschedules.
By initialing this box, you affirm that the above information is accurate to the best of your knowledge
*
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