New Client Online Registration: In Person

Name:

Address:

City, State, Zip:

Email:

How did you hear about us?

Home Phone:

Work Phone:

Dog's Name:

Age:    Sex:

Date of last veterinary check-up:

Breed:

Spayed / Neutered? Age?

Where did you get this dog?
(Breeder, shelter, newspaper, private home, pet store, breed rescue, other - please explain)

How old was this dog when you brought it home?

What are you feeding this dog?

How often are you feeding this dog? (ex: once a day, twice a day, leave bowl down, other)

Where does this dog sleep? (ex: in a crate, dog bed, in bed with you)

Please list any other people or pets in the household:

Does this dog have regular interactions with people or dogs outside of the family?
If yes, please describe.

What do you consider to be the best thing about your dog?

What would you most like to change about your dog?

Are you willing to commit 30 minutes per day to working with your dog?

Liability Waiver
(You will be required to sign this waiver prior to our session)

Owner agrees that The Pawsitive Dog, LLC and Cricket Mara will not be liable for any damage or loss caused by this dog. Dog’s behavior now and in the future is solely the responsibility of the owners of the dog. Should any behavior on the dog’s part, now or in the future, result in damage to the property, owners, or persons of some third party, owner agrees to assume full liability to such third party for any such damage.