Name
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First Name
Last Name
Email
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Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
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(###)
###
####
How did you hear about us?
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Instagram
Friend
Facebook
Web Search
Other
Do you currently follow KANE9 on Instagram (@kane9dogtraining)?
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If you do not, please head over to Instagram & give us a follow. This will be required if your dog trains with us as that's where we share daily updates, on stories!
Yes
No
If you found us through Instagram, what's your handle?
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What type of home do you live in?
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Single Family
Apartment
Duplex
Condo
Dog's Name
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Dog's breed, sex, age and weight
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Dog's origin (breeder/shelter/other)
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Is your dog Fixed?
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Yes
No
How many adults live in the home with the dog?
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How many children live in the home with the dog? What are their ages?
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What other pets live in your home (species/age/sex)?
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How long has your dog been in the family?
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Veterinarian's Name
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Vetrinarian's Phone Number
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(###)
###
####
Is your dog on any medication?
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Yes
No
If yes, please list: medication, dose and time of day given
Does your dog have any allergies or food senstivities?
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Yes
No
If yes, please list allergies here. Also, list any other important medical information we should know about.
What type of food does your dog eat and what is your feeding schedule?
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Which training program are you interested in?
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1 Week Board & Train
2 Week Board & Train
2.5 Week Board & Train
3 Week Board & Train
Owner Shadow Half Day add on (Can be added onto any Board & Train Program)
WHY do you think you & your dog would be a good fit for KANE9's training program & why are you seeking training for your dog?
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Has your dog had any prior training? If yes, please explain:
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Is your dog crate trained? (this means calm & quiet in the crate/kennel)
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Yes
No
Does your dog have accidents in the crate?
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Yes
No
Does your dog follow you around the house constantly?
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Yes
No
Not always, but often!
Does your dog sleep in your bed?
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Yes
No
Does your dog sleep in a kennel?
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Yes
No
Will you be comfortable following KANE9's recommendation of crating/kenneling your dog, at night & when you're not home, when they return home from training?
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Yes
No
Does your dog interact well with children?
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Yes
No
Does your dog interact well with other pets?
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Yes
No
Is your dog aggressive when people approach his/her food?
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Yes
No
Is your dog aggressive when people try to take his/her toy away?
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Yes
No
Has your dog ever bitten another person/animal?
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Yes
No
Are you currently using any training collars/tools? I.e. E-collar, prong collar, gentle leader, muzzle, harness, etc. Please list out all/any.
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If KANE9 requires you to muzzle condition your dog prior to training are you open to this?
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Yes
No
Do you have anything to add about your dog's behaviors? If your dog exhibits any aggressive behavior, please provide details regarding his/her behavior.
Explain how your dog acts when people come into the home or knock on your front door:
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Please check all behaviors that apply to your dog
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Not Housebroken
Has to be muzzled at the vet
Does not do well with grooming
Whines & barks in crate/kennel
Overactive/Hyper
Mounts objects/people
Play bites
Chews destructively
Digs in yard
Is shy
Jumps on people
Growls at people
Aggressive towards dogs
Nuisance barker/whiner
Urinates when excited/scared
Guards toys/food/space/people
Sniffs or eats from counter tops
Doesn't come when called
Bolts through open doors
Stresses easily
Pulls on leash
Jumps on furniture
Has seperation anxiety
Has bitten an animal/human
HOW have you tried to stop any of your dog's unwanted behaviors?
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Please describe.
Which command words does your dog follow at least 90% of the time?
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What do you hope to accomplish with your dog during training? What are the most important things we can teach your dog to help you enjoy your pet to the maximum?
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Photo/Video Release I hereby assign and grant to KANE9 Dog Training & Advocacy the right and permission to use, reproduce, distribute, and publish the photograph(s), film(s), videotape(s), audio and video recording(s), electronic representation(s) and/or sound recording(s) made of me and/or my dog(s) at any time during the training and/or boarding of my dog(s) by KANE9 Dog Training & Advocacy, and I hereby release KANE9 Dog Training & Advocacy from any and all liability resulting from such use, reproduction, distribution, and publication. Please write your name and initials, indicating that you have read these terms and Agree to this Photo/Video release Agreement.
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I am familiar with KANE9 Dog Training & Advocacy's training methods (Prong Collars, Slip Leads, E-Collars, etc.), techniques, programs, and prices. If not, please be sure to check out our SERVICES/RATES, SOCIAL MEDIA and FAQ.
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Yes
I am aware that the Board & Train program is a head-start to all the continued work my dog & I will have when they return home. Dog training is a lifestyle, not a quick fix and I understand this is a team effort. I will embrace the changes needed to be made at home for my dog & I to be successful, long term.
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Absolutely!
I'm too busy to work with my dog.