Your name* Your email* Please list names and ages of all people and other pets who live in the home. Share your pronouns below if you would like: Address: Phone Number Pup's Name Pup's Age Pup's Breed Spayed/Neutered? YesNo Where is your pup from and how long have you had them? If you are not your pup's first home do you know anything about their past? How would you describe your pup's personality? Outgoing adventurousA bit more reserved/timidNew people are all new friendsNew people are possible dangersTakes a while to get comfortable in new placesEverywhere is a home away from home How does your pup do with other dogs? How does your pup do in a crate? Has your pup ever: Nipped or bitten a human (this could even just look like a snap towards with no contact)Nipped or bitten another animal (this could even just look like a snap towards with no contact)Growled when you try to take food or toys away or approach when it is eating.Released it's bladder, bowels or anal glands as a result of getting spooked or startled.Barked and lunged towards people, dogs other animals, delivery persons.Barked and lunged towards moving objects like bikes, cars etc.Jumped up on people and put it's mouth on hands, arms or clothes out of excitementBecome panicked or destructive when left alone.Seem nervous to greet new peopleRefuse to walk forward, lay down or cower when trying to walk or enter a building.Growled or barked at a family member when you were verbally scolding them.Seemed nervous or sick in the car, reluctant to enter the car.Become startled by loud noises and seem nervous for some time afterwards.Seemed wary, nervous or aggressive towards young children.Been attacked by another animal. Are you ever concerned for the safety of yourself, other people or animals around your pup? If yes, please explain. How does your pup tend to greet guests at your home? Does your pup have any medical concerns or take any medications? other than preventives? If yes, please list them. Who is your pup's Veterinarian and how does your pup do during visits? If your pup does something unwanted (like jump up or have an accident in the home) do you do any of the following? Verbal scolding or "No"Pin/hold them downHold their mouth shutSpray with waterSwat, poke or pinch themMake a loud noise to startle themMake them go to their crate for a time out as punishmentPush them down or use your knee to get them to not jump on youHold/rub their nose in their pee or poo.Jerk on their leash or collar. What type of equipment do you use on your pup? FlatChoke/slip chainProng CollarHarnessShock collar/e-collarBark collarExtendable leashRegular leash 6 ft.MuzzleHead collar/Halti How can we help you? Feel free to select from some common examples Needs good basic Skills ( sit, come, stay, walking on leash)Potty TrainingLess barking and lunging at people and dogsFearful around strangersJumps up on people ( over excitability)New puppy, basic skills + Potty trainingBehave well in public ( Focus, calm greetings, settle)Help integrating a new dog into the familyHelp your pup settle in to a new homeBetter during Vet care or groomingTravel well in the carNew rescueNeeds muzzle trainingSeparation anxietyCounter surfingCrate TrainingGroomingMouthing, nippingBitingFearful/AnxiousDestructive behaviorsResource Guarding ( growling when you take something away or around food or special toys) Is there anything else you would like us to know about your pup, yourself or other pets in the home before we get started so we can best help you both? Please check the box to indicate you agree to have any pups that have bitten or are reactive to humans in their crate, a different room or on leash behind a gate when we enter. I agreeN/A I understand that working with dogs may entail certain risks of personal injury to myself or my dog(s). I hereby acknowledge my voluntary and informed assumption of full responsibility and liability regarding any injuries that I or my dog may incur coincident to my participation with Pup & Co Muskegon and Gineva Austin. I hereby assume any and all risks associated therewith and expressly waive, release, discharge and hold harmless Pup & Co Muskegon and Gineva Austin against any and all liability for loss, damage, injury, illness or claim of any nature whatsoever, however caused, arising out of, in association with, or related in any way to my or my dogs involvement with above provider. Both during and after services are performed. Please accept our waiver of liability by checking the box below before submitting. I Agree
