Training Application Form

This form must be completed before starting your first class or private training session.
It will help Billy's to determine the most suitable program for your dog.

About Your Dog

Name:

Breed:

Birth Date:

Age of dog when obtained:

Sex:

Male

Female

Desexed?

Yes

Is this your first dog?

Yes

Obtained from where?

If Other, please specify:

List any other pets in the household and their ages:

When you are home is your dog:

How many hours per day is your dog left alone?

When left alone is your dog:

How much time do you sepnd exercising your dog each day?

0-1 hr

1-2 hrs

2+ hrs

How to you exercise your dog?

(tip: hold down ctrl while clicking to select multiple)

If Other, please specify:

Previous Training

Highest level of training attained to date:

If Other, please specify:

Where did you attend these training classes:

When did you complete this training with your dog:

(i.e. December 2008)

How did you hear about Billy's training:

Vet Clinic:

Vet Clinic Phone:

Date of Vaccination:

Next Vaccination Due:

Vaccination Type:

Please note that a current vaccination certificate must be sighted by Billy's staff prior to commencing training

What type of food do you feed? (wet, dry, brand)

How many meals do you feed per day?

If Other, please specify:

Which of the following behaviours apply to your dog? (Please tick all that apply)

Barks excessively	Fearful of noises/storms
Jumps on people	Anxious when left alone
Does not come when called
Mounts dogs/people/objects
Toilet trained	Seeks attention
Chases moving objects	Pulls on lead
Likes to retrieve	Likes new people
Won't being retrieved objects back
Likes children
Chews a lot	Likes other dogs
Fussy about food	Likes to be with you a lot
Digs excessively	Stubborn
Has excess energy	Pushy
Bites at hands, clothes or bodies
Protective
Plays too roughly	Suspicious/shy of strangers
Fearful of other dogs	Destructive
Guards food/objects/people
Unruly in the car
Aggressive towards people	Suffers from car sickness
Has growled at people	Sits on lap in car
Has bitten someone	Dislikes grooming/handling
Aggressive towards animals	Fearful of water
Has wounded another animal

Which of your dog's behaviours do you feel could be improved? (i.e. not pulling on lead, not jumping on people, etc)

Do you or your dog have any medical conditions that may affect your participation in a training program?

(i.e. hearing or sight problem)

Any other comments you would like to make?

By pressing the following button, you agree that the above information is true and accurate to the best of your knowledge.

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