Refined Canine Academy LLC

Please be as descriptive and honest as possible. There are no right or wrong answers; This information helps assess and guarentee the best possible outcome for you and your dog.

Name*

Email*

Phone*

Address*

Pet Name*

Breed*

Sex*

Birthday

Where was the dog sourced from? Ex: Breeder, Animal Shelter, Rescue **Please provide name of rescue, breeder or shelter if possible

How long have you had the dog?*

Spayed/Neutered?*

Does your pet have any health problems and/or any current or previous injuries? If so, please describe.*

Does your dog have any known allergies?*

What type of diet (Kibble, raw, fresh) are they fed?*

What is your dog's current feeding schedule? Serving amount and meals per day. (ex: 1 cup, 2x per day)*

Has your dog ever displayed signs of aggression towards any animals or humans? If so, please describe.*

Has your dog ever bitten a person or animal or vice versa? If so, please describe.*

Please list and describe any other animals in the household:*

List all human members in household including Name, Gender, Age and Relationship to you.*

What are your main concerns with your dog?*

What would you like to accomplish with training? What does success look like to you?*

Are you open to the use of training tools? Do you have any reservations?*

Where are they kept when you're away?*

Where does the dog sleep?*

How much time daily do you have to dedicate to training your dog?*

By completing this form, you certify that all information provided is true and accurate to the best of your knowledge. Refined Canine Academy LLC is not responsible for any issues that arise due to inaccurate or omitted information. It is your responsibility to update us with any changes regarding your dog’s health, behavior, or care requirements.

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