reactive questionnaire and registration
please note: ROVEREACTIVE PROGRAMS ARE SCHEDULED UPON DBF APPROVAL. PLEASE DO NOT REGISTER WITHOUT SPEAKING TO DBF FIRST. private programs are scheduled tuesday - friday, between the hours of 9:00 am - 4:00 pm. due to our group class schedule, we cannot offer evening and weekend sessions. we are closed sunday and monday.
how did you hear about us?
about your dog:
age and date of birth (if known)
breed or mix (best guess)
if yes, at what age?
if intact, why?
where did you get your dog?
other (please specify below)
about your household:
family members and ages
other pets. where does this dog come into play (e.g. first dog, latest dog)?
where does your dog sleep?
about your lifestyle together:
how is your dog on a leash
I can't walk my dog!
worse on leash than off
past equipment choices
exercise (select all that apply)
doggy day care
about your dog's personality:
describe your dog's personality (select all that apply)
about your dog’s behavior problems/training
describe your issues (select all that apply)
digging (specify where in notes)
chewing (specify what in notes)
dog aggression - on leash (specify triggers in notes)
dog aggression - off leash (specify triggers in notes)
general anxiety (specify triggers in notes)
about your dog’s reactivity
leash aggression/reactivity at this time ( 5 being the worst)
at what age did reactivity start?
when reacting, what does your dog do? (check all that apply)
all of the above
when reacting, how difficult is it to “snap him out of it?” (5 being the most difficult)
how do you handle the reactivity?
please list specific triggers to reactivity (e.g. skateboards, dogs, etc.)
has your dog ever bitten you or someone else?
if yes, please explain.
information about dog bite history
about your training goals:
select all that apply
walk nicely on leash without reacting
recall (come when called)
sit with release command
therapy dog training
proper bite inhibition
what date would you like your dog to start their program? you will receive notification of date availability and confirmation. filling in a date is a request only and is not official until confirmation is received by dbf.
We do not offer refunds. Upon receipt of this program registration, we have locked up your pup's spot, therefore no refunds or transfers will be given.
Lack of payment immediately following this form will result in the loss of your pup's spot in the program. Your place is held once full payment is received.
As the legal Guardian of the above mentioned dog, I have carefully read and fully understand this agreement, do hereby waive and release Dog’s Best Friend, Rebecca Mandell and or staff trainer from any and all liability of any nature. This includes any injury, death, sickness and/or damage my pet may suffer during or after any training program. I also agree to indemnify and hold harmless Dog’s Best Friend, Rebecca Mandell and or staff trainer from any and all claims due to damage that the pet may cause to any family members or third parties during or after training.
I have read, fully understand and agree to the above contract terms.
Please check the box below.
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