Owner's Full Name (required)
Home Address (Street, City, Zip Code)
Contact Phone (required)
Your Email (required)
How did you hear about us?
Dog's Name (required)
Dog's Breed (required)
Dog's Age (required)
Dog's Weight (required)
Who will be responsible for the dog's training? (required)
Are there minors in the household? (required) If yes, please list their ages?(required)
Have you owned a dog before? If yes, what type? How were they trained?
Why did you get a dog?
CompanionProtectionFor ChildRescued him/herJust wanted one
Are there other pets in the home? Species? Ages? Sex? (Required)
How much time do you have to train your dog each day?
I am way too busy to train my dog20 minutes per day40 minutes per day1 hour per dayAs much as needed
What type of housing do you live in?
Is your dog allowed free range of the home?
Does your dog chew, steal or destroy things inappropriately?
Is your dog accustomed to being crated or confined?
How does he/she behave when crated? (required)
What, if anything, is inside your dog's crate? A bed, blanket? (required)
Is your dog allowed on furniture?
Are you aware of how your dog behaves while you are not home? Is barking or separation anxiety an issue as far as you can tell?
How often is your dog exercised? How?
Check off all that you feel describes your dog's personality.
NervousHigh StrungStubbornSuspiciousAbove Average IntelligenceAverage IntelligenceSlow to LearnVery AffectionateDominantSubmissiveSensitiveIndependentProtectiveUnpredictableSpoiledPrey DrivenPrefers dogs over peoplePrefers people over dogs
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