Client Intake Form

First Name *

Last Name *

Phone *

Email *

Street Address *

City *

State *

Postal code *

Dog's Name *

Dog's Age *

How many additional dogs reside in the home? *

What best describes your interest in 6 Paws Training Camp? *

Name the top 2 behavior issues you would like to modify. *

What behaviors would you like your dog to do instead? *

What best describes you learning style? *

How energized or motivated do you feel about achieving your training goals? *

How many days per week will you have to devote to practicing training skills between sessions? *

Describe any prior training you and your dog might have taken in the past. *

Has your dog demonstrated any aggressive behaviors including the following: growling, baring teeth, biting, nipping, lunging? *

If you answered "yes" to the question above, please select the option that best describes your situation? *

Has your dog been seen by a health professional regarding behavioral issues? If yes, explain *

How did you hear about us? *

Upload Vaccinations Here: Rabies Certificate, DA2PP/DHPPV/DA2PPV

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