Alliance Canine

Name*

Email*

Phone*

Address*

Training Location*

Pet Name*

Breed*

Birthday*

Sex*

Has the dog been spayed/neutered?*

No/yes

What do we like best about the dog?*

How was dog acquired?*

How much did we pay for dog?*

$

Any medical issues (allergies, joint pain, past surgeries/issues, etc.)?*

Any current medications being given? Please list.*

Has dog gone through any previous training? *

Any known history from previous owners?*

Please list any other pets in the household*

Do we currently discipline? If so, how?*

Any additional challenges not listed?*

Goals for training (short and long term)*

Please state your preferred availability for the 45 minute evaluation*

How did you hear about us?*

BUILDING THE BOND WITH OUR PETS THROUGH RESPECT AND MUTUAL UNDERSTANDING