Walkabout application form

Train Your Dog the Walkabout Way

Application Form for all training groups and 121 help.

PLEASE COMPLETE ONE FORM FOR EACH DOG ATTENDING THE SESSION AND RETURN IT TO THE OFFICE TO CONFIRM YOUR APPOINTMENT. THANKS

Your Name:

Address:

Post Code:

Daytime Tel no: Mobile/Evening:

E mail address:

Your occupation:

Dogs name: Breed: Age:

Male/ Female Neutered: Yes/ No When

Last vaccinations date……………………..Is the dog insured? Y/N

Where did you get the dog from: (breeders name or rescue name)

Vets details:

How long have you had your dog?

Brief history - health/experiences etc.

Have you had this breed of dog before? Yes/ No

(If yes, please advise past experience)

Have you had other dogs before? Yes/ No

(If yes, please advise past experience)

Have you or the dog attended training classes? Yes/ No

(If yes, please give details?)

What is the dog fed on? ( please be precise with the brand of food and quantities etc.)

When is the dog fed? (please also give details of where and if any other animals are fed at the same time)

How much exercise does your dog get per day?

How long is your dog left during the day?

Where does the dog sleep - (i) daytime? (ii) at night time?

Does the dog travel well? (please give details of where in the car and if there are any problems)

Is the dog with children at all? Yes/ No

(If yes, please give children’s ages)

Any problems with children?

Are there any other pets in the household? Yes/ No

(If yes, please give details?)

If we asked you to groom you dog now, what would his reaction be to:

Please list all problems currently experiencing that you would like us to help with:

What have you tried so far