Training Consultation Form

 

Thank you for your interest in learning more about training. Training is the foundation of the open line of communication between you and your four legged friend. Using science based positive reinforcements techniques we can show you the tools to form a new shared language and strengthen the human canine bond. We are Force Free certified trainers.

To help us to better understand your puppy history and long term behavior goals please fill out the below form.

 

Owner's Information

Owner's First Name *

Owner's Last Name *

I am interested in: *

 All Day School   Private Training   Board & Train   Group Classes   Pet Sitting / Walking 

Email Address *

Phone Number *

How Did You Hear About Us?

    Client / Friend   Social Media   Google   BNI   Yelp   Rescue/Shelter   KPA CTP   Other 

Address (Street, City, Zip Code) *

Dog's Information

Dog Name(s) *

Dog's Weight (Best Guess)

Dog's Breed (List all, if not sure take a guess) *

Dog's Sex (M or F) *

 Male   Female 

Dog's Date of Birth

Spayed/Neutered?

If yes, date when?

Has Your Dog Nipped or Bitten A Human? *

 Yes   No 

Has Your Dog Nipped or Bitten Another Dog? *

 Yes   No 

If Yes, Please Describe the Incident(s) In Detail

If Yes, Please Describe the Incident(s) In Detail

Getting to Know You

Other pets in household? If yes, please list species, sex, age, breed and if spayed or neutered.

Describe the others in your home and if they have a responsibility with the puppy. List Name and age of your family in the home:

Who is your veterinarian?

Vet phone

Where did you get your puppy from (Breeder, Friend, Rescue)?

How old was your puppy when he/she was able to come home?

How did you pick up your puppy (Shipped or Drove)?

Social and Exercise

What is your puppy's natural energy level?

How much exercise does your puppy get daily and what type? (i.e. walk, run, chase ball etc.)

On an average day, approximately how many hours does your puppy spend...

 

 

Inside Alone

Outside Alone

Inside With People

Outside With People

Where does your puppy sleep at night?

Is your puppy crate trained?

Where does your puppy stay during the day when alone?

Do you have an enclosed yard?

Training History

Did you take your puppy to a puppy class (under 6 months)? Where and when? Have you trained a puppy in the past?

Have you attended group or private training with your puppy? Where, and for how long?

What style of training have you used in the past (i.e. positive? balanced? “pack theory”?)

What training tools have you tried with your puppy (i.e. clicker, martingale, no pull harness, head halter)?

Does your puppy exhibit any of the following behavior problems? Please check the relevant behaviors and approximate frequency

 

 

Excessive barking or howling

 Never 

 Occasionally 

 Often 

Object and food stealing

 Never 

 Occasionally 

 Often 

Overly submissive behavior

 Never 

 Occasionally 

 Often 

Sleep problems

 Never 

 Occasionally 

 Often 

Pulling on leash

 Never 

 Occasionally 

 Often 

House soiling (urination, defecation, marking, submissive urination)

 Never 

 Occasionally 

 Often 

Mouth on hands or clothing

 Never 

 Occasionally 

 Often 

Chasing (cars, people, other puppys)

 Never 

 Occasionally 

 Often 

Jumping up (guest or owner)

 Never 

 Occasionally 

 Often 

Fearfulness (shy or phobic reaction)

 Never 

 Occasionally 

 Often 

Running away

 Never 

 Occasionally 

 Often 

What are your short-term goals for your puppy?

What are your long-term goals for your puppy? Are you interested in having your puppy be a Therapy or Service Animal?

Does your puppy play well with...(Please check)

 Small Puppies   Large Puppies   Children 

What common behavior challenge(s) do you and your puppy want to work on?

Does your puppy ever seem irritated by or resent petting or touching? If so, where on his/her body?

Does your puppy bark excessively? If so, when and where?

Does your puppy hide or run away if people talk loudly or act boisterously? If so, please describe context.

Does your puppy ever urinate or roll over on his/her back when greeting? If so, please describe context.

Please check off all the behaviors/cues your puppy knows

 His/Her Name   Come   Sit   Down   Stand   Stay   Wait   Leave It   Crate   Touch/Hand Target   Fetch  Go To Spot/Bed   Watch Me/Eye Contact   Off   Over   Under   Find It   Heel   Catch It   Spin 

Other tricks?

Nutrition

Brand/type of food your puppy is currently eating?

Frequency of feeding and the amount fed?

Is your puppy on probiotics/supplements (Goat milk, pumpkin)?

What treats are given for good behavior or training?

Any known food allergies or sensitivities

The Process

Thank you for your time with our questionnaire. After filling out the questionnaire, it will be put into your file and we can schedule our in-home consultation. The initial in-home consultation will take approximately 90 mins. After our first visit, I will put together a training plan customized to meet your puppy’s behavior goals, then once reviewed we will begin scheduling training sessions.

Liability Waiver and Training Policies

Canine Learning Academy LLC will endeavor to create a safe, healthy environment for the training of my puppy(s) and will offer only safe, ethical, responsible and scientifically-sound training suggestions and lifestyle recommendations. Yo Armendariz KPA-CTP and the Training Team trains with science-based positive reinforcement techniques. We are Force-Free Trainers!

I expressly and voluntarily assume all risk of injury while training my puppy(s). I recognize that weight Yo Armendariz, nor Canine Learning Academy LLC is responsible for the unintentional errors, omissions or incorrect assertions. I understand that the recommendation of any other product or service is not a guarantee of my satisfaction. Further, I am and will remain responsible for the actions of my puppy at all times, and I hereby agree to indemnify and hold harmless Yo Armendariz and Canine Learning Academy LLC, of any and all claims of injury, expenses or damages caused by the actions of my puppy while under Canine Learning Academy LLC instruction, the care of Yo Armendariz or under my own care as a result of following the training plan.
I understand the inherent risks of owning a puppy, including but not limited to, the risk of puppy bites to other animals, other people or myself.
I understand the behavior of a moment-to-moment decision-making animal can never be guaranteed. Therefore, the success of my puppy(s) is highly correlated to the amount of time I spend practicing the desired behaviors with my puppy(s) and the degree of consistency family members and I employ. I realize that my success is contingent on my family’s dedication to working with our puppy on a daily basis. There are no guarantees with behavior modification, and I will not hold Yo Armendariz or Canine Learning Academy Training Team responsible if my puppy does not meet our training goals.

By checking the "I agree" box below, I have read and agree to the liability waiver terms and policies.

Check below *

 I agree 

Media Release

By checking the "I agree" box below, I hereby give my full consent to all photographs, audio recordings, video recordings and/ or academic work taken of me, my puppy(s), friends and family members (including minor children) by Yo Armendariz and Canine Learning Academy, or their designee. I understand that any such photographs, audio or video recordings, and academic work become the property of Yo Armendariz and Canine Learning Academy, and may be used without consent, for instructional, educational, or promotional purposes as determined by Yo Armendariz and Canine Learning Academy in broadcast and electronic media formats, now existing or in the future created.

Check below *

 I agree 

Cancellation Policy

By checking the "I agree" box below, I understand and agree to the following cancellation policy terms:
1. Once a training program has started, there are NO refunds.

2. The client may reschedule or cancel ONE prescheduled private session without penalty. Any subsequent reschedules or cancellations will count as and be charged as a prepaid session in the training plan. It is imperative that sessions be scheduled on a consistent basis and in a timely manner.

3. A minimum of 48 hours notice is required to cancel a scheduled session without penalty.

Check below *

 I agree 

Payment Policy

By checking the "I agree" box below, I understand and agree to the following payment policy:
Payment (cash, check, Credit Card, PayPal or VenMo) is due in full upon completion of the initial consult. Long-term training clients have the option to pay in full after each visit, or to be billed as needed (preferred monthly).

Check below *

 I agree 

Contract Review

By checking the "I agree" box below, this contract is validated, and approval for future services without additional written authorization.

I have read and agree to the terms of this puppy training contract and Policies.

I also understand that the desired outcomes for puppy’s training and behavior is directly proportional to the time, commitment and positive reinforcement technique spent working with my puppy in between training sessions.

Check below *

 I agree