Dog Days™ Training & Behavior Center





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Got a Specific Behavior Question?

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Number of adults & number of children in household:
Contact/Applicant Info

Today's Date:
Owner's Name:
Address:
City, State, Zip:
Home Phone:
Cell phone/pager:
Employer:
Work Phone:
Email Address:

Are you applying for dog daycare?Yes No

Are you applying for overnight boarding? Yes No

Are you applying for class?Yes No
Which class?	Puppy Socialization Parties Puppy Kindergarten Advanced Puppy Kindergarten Adolescent Dog Obedience AKC Canine Good Citizen

Are you applying for grooming?Yes No

Are you applying for a private behavior consultation?Yes No

Emergency Contact Name & Phone: (who we can call if you cannot be reached)


Number/species & ages of other pets in household:


Your Dog's Info

Dog's Name:
Date of Birth (with Year):
Breed:	-
Sex:
How old was the dog when you got them?
How old was the dog when they were spayed/neutered?

Medical/Nutritional Info

Veterinarian/Clinic:
Phone number and/or address:
Please list any medical conditions:
Dietary limitations/allergies:

What training has this dog had (list name of trainer)?
Training & Temperament History (Skip this section if dog is under 12 weeks old)


Rate your dog's accomplishment level on the following areas: (1 = worst, 5 = best)
Sit Stay Come Heel
Has this dog ever bitten any dog or human?
If yes, how many times and under what circumstances?

List any problem behavior: (ex. jumping, shyness, playbiting, fear, separation anxiety, aggression, etc.)

Rate your dog's comfort level/overall behavior under the following condition: (1 = worst, 5 = best) With familiar adults With unfamiliar adults With familiar children With unfamiliar children With familiar dogs With unfamiliar dogs With other animals (cats, ferrets, squirrels, etc.) How did you hear about Dog DaysT of Buffalo?

Got a specific behavior problem not answered here? Click here to send in your question and get a comprehensive, personalized answer, normally within 5 days.

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Got a Specific Behavior Question?