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Client and Dog Information
First name
Last name
Address
Email
Area Code
Phone
Emergency Contact Name
Area Code
Emergency Contact Number
Dog Name (s)
Dog Breed(s)
Dog Age(s) Please use approximate age(s) if unknown
Dog Gender(s)
Approximate Dog Weight(s)
Dog(s) fixed? If NO list unaltered dog(s) names
Is your dog updated on all required vaccines?
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Has your dog been given a clean bill of health by your vet? If not, why?
Does your dog(s) recieve any medications?
Veterinary Clinic Name
Area Code
Veterinary Clinic's Number
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Has your dog ever shown aggression to a person?
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Has your dog ever shown aggression to another animal?
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Does your dog have a bite or incident reported/on record?
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If you answered yes, please explain the incident below:
What tricks/commands do they already know? What training have they already had?
How many times a day can you practice with your pup? (15min per practice)
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How did you hear about us?
Why are you seeking training or services? What are your goals?
I give Tricks For Treats Jax permission to call my veterinarian and access my dog(s) records.
I verify I own this dog(s) and I will be the primary trainer
I agree and understand that homework and practice is essential to training my dog, and without this I may receive inadequate training results
Full Name
Birthdate
Date Of Signature
I, by signing this document, verify that all of this information is accurate and true and agree to share this information with Tricks For Treats Jax
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