Client Information Form

Please submit the client information form BEFORE your first training session.

Name

First Name

Last Name

Date

YYYY

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Referred by

N/A if not applicable

Dog's Name

Breed

Dog's Age & Sex

Spayed / Neutered

Yes

Not sure

Other pets and/or people in household:

Occupation/Time spent outside home:

Veterinarian

Medical problems / Meds / Allergies:

Brand of food

How often fed / At what times:

Eat right away / Finish meals:

Treats snacks / How often

Where was dog obtained / How long ago:

Progress

Housebroken

Crate Trained

Neither

Where does dog sleep:

% time indoor/outdoor:

Where kept when owner gone:

Any previous training / Behaviors dog knows / Training methods used / Trainer:

Exercise Type / Frequency:

Equipment used on walks:

Has dog ever bitten or injured a person or animal:

(If yes, describe in Notes section)

Reason for Scheduling:

Notes

Client Information Form

Faithful Paws Canine Training LLC