B&T Enrollment Form
First name*
Last name*
Street Number*
Apartment*
City*
ZIP*
Phone number*
Additional Number
Veterinarian Name
Veterinarian Number
Dog’s Name*
Dog’s Breed*
Dog’s Age*
Dog’s Weight*
Dog’s Gender*
Male
Female
Dog's Condition*
Spayed/Neutered
Unaltered
Any health issues?*
Yes
No
If yes, please explain:
Describe your daily routine with your dog*
How many people live with your dog & what are their ages?*
Do you currently crate your dog?*
Yes
No
Has your dog ever escaped from a crate?*
Yes
No
Has your dog ever jumped over a fence or escaped?*
Yes
No
How does your dog behave with other dogs, cats, other animals?*
How does your dog behave when left alone or when you leave the home?*
How does your dog behave in the car?*
Has your dog ever aggression towards humans? If yes, please give details. *
What is something you do that's fun with your dog or would like to do?*
Want do you want most out of training? What are your expectations?*