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Printable
Registration Form
Owner Name: _______________________________________________________________ Date: ___________________ Mailing Address: ________________________________________City _________________________________________ Phone: (h) ____________________________________ (w) Optional __________________________________________ E-mail address (optional) ______________________________________________________________________________ Physical Address ____________________________________________________________________________________ I would like to Receive the Positive Puppy Post Newsletter __________________ Information Regarding Your Dog: Name of Dog: ________________________________________________________Present Age: ___________________ Breed: __________________________________________ Female Male Spayed Neutered Where did you get this dog: ________________________________________________________________________ How old was this dog when you got him/her: ___________________________________________________________ Why did you choose this particular dog:___________________________________________________________________ Where does this dog sleep? _________________________________________________________________________ Where does your dog eat his meals (i.e. kitchen, garage, etc.) _________________________________________________ Do you leave food out for your dog to eat or do you feed him/her at regular times? _________________________________ Does your dog have any physical disability that might require
special considerations, i.e. loss of limbs, loss of an eye, ________________________________________________________________________________________
___________________________________________________________________________________________________ Have you ever had a dog before? _________________If so, what breed was it? __________________________________ Do you intend to take this dog with you while doing recreational sports? ____________ If yes, what sports? ___________________________________________________________________________________________________ Behavioral Section:
Does your dog allow you to pick him up and hold him or does he
squirm to get free? _________________________________ _____________________________________________________________________________________________________
Does your dog ever roll over so you can pet him on the stomach?
________________________________________________ Can you easily pet or touch your dog on all parts of his body
including ears, feet, mouth, tail, etc? _______________________ Has your dog ever growled at you? ________________
______________________________________________________________________________________________________ What does your dog do when led by the collar? _______________________________________________________________ How does your dog respond if moved off the furniture? _________________________________________________________ What would you describe as your biggest obstacle with this dog? _________________________________________________ Does your dog like to chase objects, like cars or animals? ________________________________________________________ How does your dog greet strangers who come to your home, i.e. does he wag his tail and jump up or does he tend to hide behind you or furniture? __________________________________________________________________________________________ Does your dog ever wet the floor when someone comes in the door or reaches out to pet him? ____________________________ _________________________________________________________________________________________________________ If yes, what do you do when that happens? _____________________________________________________________________ MOTIVATION SECTION: What are your dog’s favorite toys? Please list at least 3: _____________________________________________________________ What are your dog’s favorite treats? Please list at least 3 _____________________________________________________________ Does your dog like to chase toys or animals smaller than he or she is? __________________________________________________ If so, what? ________________________________________________________________________________________________ Would you say your dog preferred people over other dogs, or dogs over people? _________________________________________What games does your dog like to play, i.e. fetch a stick or ball, or keep away? ___________________________________________ ___________________________________________________________________________________________________________ CANCELLATION OR NO SHOW POLICY: Positive Puppy Dog Training LLC
will charge a minimum $65 for private I certify that I am the actual owner of the dog described above.
Further, I realize that the greatest success of training my ____________________________________________________________________________________ Date: _______________________
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