New Client Registration | Apex Canine

Name *

First

Last

Email *

Phone Number: *

Zip: *

How did you hear about us? *

Google Search
Facebook
Customer Referral
Other

If you were referred to us, please let us know who referred you so we can thank them:

Dog's Name: *

Breed *

Current Age: *

When did they join your family? Include age if known. *

Has your dog ever displayed aggression towards-attempted to bite-bitten another animal or human? *

Yes
No

If you answered yes to the above, please explain below. Please include as much information as possible about the incident. Were there any injuries? Was medical care required? Was animal control involved?

Please list any behavior/training concerns you have at this time: *

What training have you tried to date? *

What equipment are you using for your dog currently? Ex: Martingale Collar - Flat Collar - Harness - 6ft Leash - Long Line etc *

Does your dog's current environment and/or routine cause them to interact with any triggers? This can include other dogs, unknown people, wildlife, cars, reflective items, loud noises, "things with wheels", handling for vet/grooming/putting on equipment, being left alone etc Please list and describe below: *

How does your dog respond to meeting new people in their home? How do they respond to meeting new people outside of the home? *

What skills or behaviors does your dog know fluently (can be performed around distractions)? Ex: Sit-Down-Come When Called-Loose Leash Walk etc

What skills or behaviors does your dog know that can be performed with little to no distractions present?

What are your training goals? What do you hope to achieve from your sessions? *

Is there any additional information you would like to share?

For scheduling your free discovery call - What days are you typically available? *

Are there any availability restrictions on time of day I should make note of? *