Registration Form

ABOUT YOU


ABOUT YOUR DOG

DOG'S SEX/STATUS
Where did you get your dog?

TRAINING

My dog is trained in the following behaviors:

RESPONSE HISTORY

My dog gets "sniffy" (choose all that apply):
My dog wanders away, e.g. on agility course or during heeling pattern (choose all that apply):
My dog is easily distracted by the environment, e.g. other dogs, noises, people, motion, etc (choose all that apply):
My dog "drifts off", becomes disconnected or disengaged from the handler (choose all that apply):
My dog shows stress behaviors such as yawning, lip-licking, scratching (but not itchy), avoids eye contact, especially when asked to perform (choose all that apply):
My dog barks, pulls, lunges at dogs, objects he is uncertain about, but can be interrupted or he recovers quickly (choose all that apply):
My dog is easily "over-excited" or aroused and is no longer in thinking/learning mode (i.e. gets the "zoomies", etc) (choose all that apply):
My dog is mildly responsive to sudden environmental changes (falling chair, person entering far end of room, etc) but recovers quickly (choose all that apply):
My dog is unable to focus or relax for even a moderate amount of time (choose all that apply):

BITE-FIGHT HISTORY

Has your dog been in dog fights with household dogs or other dogs?
Would it be more accurate to call these "discussions"?
Did you see any mouth contact in these fights?
Were there any injuries?
Did the bite require medical attention?

TRIGGERS


GOALS


FINALLY . . .