Karma Dog Training: Contact

Please fill out as much or as little as you choose
(Karma Dog Training does NOT sell, rent, or share your
personal information with third parties).


Tell Us About You
Handler:
Co-Handler
Street Address
City, State, & Zip
Home Phone
Work Phone
Occupation
E-mail Address
Referred By

Tell Us About Your Dog
Breed:
Dog's Name
Sex?		Male Female
Age?
Weight?
Type of training collar you use
Is your dog friendly toward other dogs?
Is your dog friendly toward other people?
Veterinarian: (Name of Animal Hospital)

Training Goals
Please tell us what your training goals are for your dog.
Is there anything else that you feel we should know about your dog?

How did you hear about us?

Which training option might you be interested in?

I have read and agree to the terms of the
Waiver/Assumption of Risk and Refunds/Cancellation Policy

Type your name in the box to indicate your acceptance.

Please confirm the letters from the box above.

History
Has your dog had any previous training?		Yes No
If yes, what type of training?
Method of Training used?
Is your dog housebroken?		Yes No
Are you using a crate?		Yes No
Has your dog ever bitten a person?		Yes No
Has your dog ever bitten another dog?		Yes No
Level of experience?

How did you obtain your dog?
At what age?

General Information
What brand of food do you feed your dog?
Do you feed your dog people food? If so, how much?
What kind of treats do you feed your dog?
Where does your dog stay during the day?
How long is your dog left alone?
Is your dog left in a crate?		Yes No
Where does your dog sleep at night?
Type of exercise your dog receives
Do you have another dog at home?		Yes No
If so, what gender?		Male Female
Are there children in the house?		Yes No
If so, what ages?

PLEASE SELECT ANY OF THE FOLLOWING WHICH APPLY TO YOUR DOG

Other behavior problems:
TEMPERAMENT: