Applause Your Paws

Today's Date * MM / DD / YYYY
Your Name * First Last
Please list all other family members who share the home with you and your doggie: *

Please give first names and your relationship! We like to get to know you and your family, too!
Dog(s) Information
Name *
Breed *
Age *
Weight *
Gender Information *
Female Unaltered Female Spayed Male Unaltered Male Neutered
What do you like the most about your dog? *
Contact Information
Home Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Please include the name of your community if applicable.
Special Parking Instructions? (do you have a security gate, valet, or any other parking restrictions?)
Cell Phone * ### - ### - ####
Home Phone ### - ### - ####
Other ### - ### - ####
Your e-mail address *
Other Dog-gone information
Where did you obtain your dog and at what age was the dog when you obtained it? *
How long have you had your dog? *
Please list any other animals that share your household (if applicable):
Which veterinarian/clinic do you take your pets to? *
My dog:
has allergies is up to date on routine vaccines has had blood work done in the last year has food allergies
Please describe any other medical history here (surgeries, injuries, past illnesses, etc.)
Please provide a general description any behavior issues including as much detail as possible (basically, what is it that you'd like to work on!): *
When did the "issue" behavior(s) start? *
Have there been any changes in the home environment that corresponded with a change in your dog's behavior? *
What kind of food (brand name) is your dog eating and how often is he being fed? *
What type of exercise is being provided and how often? *
What type of equipment (type of leash/collar) is being used on walks? *
What is your dog's attitude with unfamiliar dogs? *
What is your dog's attitude with unfamiliar people? *
How would your family describe your dog's temperament? *
Where is your dog left when no one is home? *
Where does your dog sleep? *
Will this be your first experience with a Certified Pet Dog Trainer? *
Yes No I've had a dog trainer before but not a CPDT
What is your dogs level of training, who did the training, and what methods were used? *
My dog is most motivated by: *
Toys Food I'm not sure
Percentage of time dog spends indoors vs. outdoors: *
0/100 25/75 50/50 75/25 100/0
I prefer my lessons to be held: *
weekdays during the daytime weekday evenings weekends
How did you hear about Applause Your Paws, Inc? *
My Veterinarian Paws 4 You Rescue BNI (www.bnimiami.com) Association of Pet Dog Trainers Certification Council for Professional Dog Trainers I met one of your trainers in public A happy dog owner who has used Applause Your Paws Internet Search Saw the super cute AYP vehicle Other
Please provide us with the name of the person, friend, client or colleague who referred you so that we may thank them:
Terms of Service

Please read the below terms of service and check the box below to indicate you have read and agree to each term.
I agree that the success of any training program is based on owner compliance. Training is a process which takes time, patience and dedication. *
Agree
I agree that payment in full for any and all scheduled lessons is due at the end of my first lesson with Applause Your Paws. Checks can be made payable to Applause Your Paws. Cash is OK. Credit cards payments can only be made in advance of scheduled lessons. *
Agree
I agree that should I need to reschedule a lesson I will provide at least 24 hours notice to Applause Your Paws otherwise I will be billed for my missed lesson. *
Agree
I agree that if at any point during training I wish to discontinue service, I will be refunded for services not yet rendered and billed only for services rendered at Applause Your Paws' standard training rate of $80/hr. *
Agree
e-signature (by typing my name in the below box I am agreeing to all of the above terms of service): First Last
You're done! Take a deep breath. We're really glad you've reached out to us and look forward to helping you and your doggie. Now.... go click submit. An Applause Your Paws staff member will be in touch with you to confirm we've received your form. Woof!
Do Not Fill This Out

Applause Your Paws

Dog(s) Information

Contact Information

Other Dog-gone information

Terms of Service

You're done! Take a deep breath. We're really glad you've reached out to us and look forward to helping you and your doggie. Now.... go click submit. An Applause Your Paws staff member will be in touch with you to confirm we've received your form. Woof!