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Basic Training History Form

For dogs or puppies new to your home or dogs who are needing basic manners training–house training, sit, down, stay, come when called, greeting people nicely, therapy dog skills, and other non-behavioral training goals.

New Client Application--Basic Training!

Human Information

Basic Contact Information

Name(s) *

Dog Name(s) *

Address (street) *

Address (City and Zip Code) *

Any special parking instructions or directions? (if you are coming to us, you can disregard this)

Email Address(es) *

Phone Number(s) *

Please note your preferred phone number

How did you hear about us? *

Emergency Contact (name and phone #) *

Medical Information

Current vet's name (or clinic name) and phone number *

I give Success Just Clicks permission to contact my vet in the context of behavioral training if necessary *

Yes

No

Date (or approximate) of last vet visit and any significant findings or reason for visit? *

Does your dog have any known medical issues? Is he/she currently on any medication (other than heartworm or flea/tick)? *

(like arthritis, loss of hearing, joint disorders, IBD, lyme disease, etc)

Date of last Rabies vaccine (or titer if medically exempt) *

All SJC clients are required to be up to date on their rabies or be medically exempt with or without a titer level. Please be prepared to have a copy of this during your initial lesson.

What is your dogs current diet? Is your dog free-fed or fed at specific meal times? How much are they fed per meal? *