Name
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First Name
Last Name
Email
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Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
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(###)
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How Did you hear about Pure Energy Dog Training?
Have you followed us on Instagram yet? (@pureenergydogtraining)
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If you have not, please head over to Instagram & give us a follow. This will be required if your dog trains with us as that's where we share daily updates, on stories!
What is your instagram handle?
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So we can tag you in your dogs progression videos!
What type of home do you live in?
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What is your dog's name?
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Dog's Breed, Age, Sex and Weight
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Is your dog fixed?
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How many adults live in the home with the dog?
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How many children live in the home with the dog? What are their ages?
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What other pets live in the home?
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How long has your dog been in the family?
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What is your veterinarians name?
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Vet's phone number
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Is your dog on any medication?
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If yes, please list any medications (dosage, frequency, etc)
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Does your dog have any allergies or food sensitivities?
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If yes, please list allergies here. Also, list any other medical information we should know.
What food does your dog eat and what is their feeding schedule?
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What training program are you interested in?
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Why are you seeking training for your dog?
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Have you or your dog had any prior training before? If yes, please explain.
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Is your dog kennel trained? (This means calm & quiet in the crate/kennel)
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Does your dog have accidents in their crate/kennel?
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Does your dog follow your around your house constantly?
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Does your dog sleep in your bed?
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Does your dog sleep in their crate/kennel?
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Will you be comfortable following Pure Energy's recommendation of crating/kenneling your dog, at night & when you're not home, when they return home from training?
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Does your dog interact well with children?
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Does your dog interact well with other pets?
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Is your dog aggressive when people approach his/her food?
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Is your dog aggressive when people try to take his/her toy away?
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Has your dog ever bitten another person/animal?
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Are you currently using any training collars/tools? I.e. E-collar, prong collar, gentle leader, muzzle, harness, etc. Please list out all/any.
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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.
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Explain how your dog acts when people come into the home or knock on your front door:
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Please check all behaviors that apply to your dog
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Have you tried to stop your dogs unwanted behaviors? If so, please describe in what ways have you tried.
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What commands does your dog know?
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These are commands your dog listens to at least 90% of the time.
What do you hope to accomplish with your dog during training? What are the most important things we can teach your dog to help you enjoy your pet to the maximum?
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Photo/Video Release I hereby assign and grant to Pure Energy Dog Training 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 Pure Energy Dog Training, and I hereby release Pure Energy Dog Training 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.
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I am familiar with Pure Energy Dog Training's training methods (Prong Collars, Slip Leads, E-Collars, etc.), techniques, programs, and prices. If not, please be sure to check out our PROGRAMS/RATES, SOCIAL MEDIA and FAQ.
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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.
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