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Dogessori Day School Registration Form
Owners Information
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Main Phone
*
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Secondary Phone
###
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Email
*
Referred to training by
*
Veterinarian's Name/Clinic
*
Vet's Phone
*
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Dogessori Day Camp or School?
*
Day Camp
Day School
Day & Time Preferences:
*
Monday Full Day, 9am-5pm
Monday Half Day, 9am-1pm
Monday Half Day, 1pm-5pm
Wednesday Full Day, 9am-5pm
Wednesday Half Day, 9am-1pm
Wednesday Half Day, 1pm-5pm
Private Tutoring - 1 hour
Self Training - 1 hour
Dates you would like:
Dog's Information
Please provide as much information as possible.
Dog's Name
*
Breed(s)
*
Age
*
Date Acquired Dog
MM
/
DD
/
YYYY
Age at Acuisition
Sex
*
Male
Female
Fixed?
*
Yes
No
Additional Information
This section helps us understand the best way to train your dog. Please fill out as much as possible.
Vaccinations Current?
*
Yes
No
List the health history of your dog
*
ex: health issue 1, health isue 2,...
Is your dog on any medication?
*
Yes
No
If Yes, what medication and why?
Where did you get your dog?
*
Is your dog comfortable in a dog crate?
*
Yes
No
Type of Collar and Leash used
Dog's diet
*
Dog's daily routine
*
Other training
Show signs of aggression?
*
Yes
No
If Yes, Describe
Show signs of fears?
*
Yes
No
If Yes, describe
Where is your dog kept?
*
In house loose
Fenced Yard
Tied outside
Crated in house
Dog kennel outside
Invisible Fencing
Separate room in house
Check all items that your dog reacts unfavorably to
*
Men
Women
Cars
Stangers
Cats
Kids
Trucks
Other Dogs
Loud Noises
My dog is fine with all of the above
What things upset your dog?
*
How is your dog while in the car?
*
How does your dog react to being left alone?
*
What type of exercise does your dog get?
*
How would you describe your dogs personality?
*
Shy
Friendly
Fearful
Confident
Quiet
Indifferent
Independant
Agressive
Passive
Nervous
Calm
Loud
Curious
Bored
High Energy
Laid Back
Dominant
Submissive
Playful
Dependant
*Check all that apply
What bad habits does your dog have?
*
Barks or Howls
Digs
Chews
Bites
Eats Stools
Steals
Runs away
Jumps up
Gets in trash
Not housebroken
No bad habits
What commands does your dog respond to?
*
Come
Sit
Down
Heel
No
Leave it
Back
Stand
Stay
Wait
O.K.
Drop/Give
Let's Go
Fetch
None
Who does your dog play with the MOST?
*
Adults
Children
Other dogs/animals
Him/Herself
When you are at home, what does your dog prefer to do?
*
Follow people around and nicely intereact.
Follow people around and obnoxiously interact.
In same room, but not much people interaction.
Interacts with other pets.
Alone and not following people around.
What games does your dog like to play?
*
Fetch
Hide & Seek
Chase
Tug of War Wrestling
Other/None
*Check all that apply
How often does your dog come when called?
*
90% or more
75%
50%
25% or less
How much improvement would you like to see in your dog?
*
90% or more
75%
50%
25% or less
List future goals for you and your dog
*
ex: goal 1, goal 2,...
I agree to the
terms, conditions and class policies
of Canine University
*
I agree
Date
*
MM
/
DD
/
YYYY
