Name
*
First Name
Last Name
Email
*
Phone
(###)
###
####
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
How did you hear about us?
*
Friend/Family
Instagram
Facebook
Web Search
Dog's Name
*
Dog's breed, sex, age and weight
*
Dog's origin (breeder/shelter/other)
*
Is your dog fixed?
*
What type of home do you live in?
*
How many adults live in the home with the dog?
*
How many children live in the home with the dog? What are their ages?
*
What other pets live in your home (species/age/sex)?
*
How long has your dog been in the family?
*
Veterinarian's Name & Phone #
*
Is your dog on any medication? Excluding monthly preventatives
*
If yes, please list them below
*
Which training program are you interested in?
*
WHY do you think you & your dog would be a good fit for Country K-Nine's training program & why are you seeking training for your dog?
*
Has your dog had any prior training? If yes, please explain:
*
Is your dog crate trained? (this means calm & quiet in the crate/kennel)
*
Does your dog have any form of separation anxiety?
*
ex: Paces around and always under foot, Whines/barks anytime away from you, Tries to get out of/self harms while in crate
Does your dog sleep in your bed?
*
Does your dog sleep in a kennel?
*
Will you be comfortable following our recommendation of crating/kenneling your dog, at night & when you're not home, when they return home from training?
*
Does your dog get along with other dogs?
*
Is your dog aggressive when people approach his/her food?
*
Is your dog aggressive when people try to take his/her toy away?
*
Has your dog ever bitten another person/animal?
*
If we require you to muzzle condition your dog prior to training are you open to this?
*
Do you have anything to add about your dog's behaviors? If your dog exhibits any aggressive behavior, please provide details regarding his/her behavior.
*
Please check all behaviors that apply to your dog
*
Are you currently using any training collars/tools? I.e. E-collar, prong collar, gentle leader, muzzle, harness, etc. Please list out all/any.
*
What are your TOP 3 training goals with your dog? (This can be loose leash walking, off leash recall, place training, etc.)
*
Photo/Video Release I hereby assign and grant to Country K-Nine, LLC the right and permission to use, reproduce, distribute, and publish the photograph(s), film(s), videotape(s), audio and video recording(s), electronic representation(s) and/or sound recording(s) made of me and/or my dog(s) at any time during the training and/or boarding of my dog(s) by Country K-Nine, LLC, and I hereby release Country K-Nine, LLC from any and all liability resulting from such use, reproduction, distribution, and publication. Please write your name and initials, indicating that you have read these terms and Agree to this Photo/Video release Agreement.
*
I am familiar with Country K-Nine, LLC’s methods. I understand my trainer may recommend the use of these training tools: Slip Lead, Prong Collar, E-Collar.
*
Do you acknowledge that Country K-Nine, LLC requires a non-refundable deposit of $400 in order to reserve designated training dates?
*
I am aware that the Board & Train program is a head-start to all the continued work my dog & I will have when they return home. Dog training is a lifestyle, not a quick fix and I understand this is a team effort. I will embrace the changes needed to be made at home for my dog & I to be successful, long term.
*
