Puppy Day Training Intake Form Puppy InfoPuppy Name*Puppy Age In Weeks*Puppy Breed*Where did you get your puppy?Has your puppy exhibited or been diagnosed with any food sensitivities and/or allergies? Yes No If so, to what?We sometimes suppliment our boiled chicken with other proteins. Please select any of the following your puppy is allowed to have:* Beef Cheese Cream Cheese Fish Pork Turkey Venison None of These Which brand and variety of food does your puppy eat?Owner InfoPrimary caregiver name (s)*Email* Phone*Secondary PhonePlease list the names and ages of people living in your household.Secondary Caregiver InfoSecondary Caregiver Name (dogwalker, etc.)Secondary Cargiver PhonePlease list the first and last names of anyone else who is authorized to pick up your puppy:Emergency Contact InfoEmergency Contact Name*Emergency Contact Phone*Does your emergency contact have permission to pick your puppy up from day camp?* Yes No Vet InfoVeterinarian*Veterinarian Phone*Veterinarian Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code If your dog suddenly becomes ill, we will attempt to contact you to but may need to seek immediate care. In case of an emergency, Ahimsa Dog Praise Training, LLC is authorized to seek medical treatment for my puppy at a nearby vet at my expense. Ahimsa should tell the veterinarian that emergency vet expenses are not to exceed the amount below:*Is Your Puppy Taking a Puppy Kindergarten Class on Mon Tues Wed or Thur of This Week?* Yes No If Yes, Please let us know the Day and Time of the Puppy Kindergarten Class.Training PriorityThis field is hidden when viewing the formPlease pick up to 3 behaviors you would like Ahimsa to focus on with your puppy.* Not Jumping on People Sitting Lying Down Staying Coming (recall) Touch Not Jumping on Tables and Counters Play Biting Frustration Biting Body Handling Go to Mat/Bed Leave It Leash Walking Drop It Barking at triggers Demand Barking (at people) First Behavior* Not Jumping on People Sitting Lying Down Staying Coming (recall) Touch Not Jumping on Tables and Counters Play Biting Frustration Biting Body Handling Go to Mat/Bed Leave It Leash Walking Drop It Barking at triggers Demand Barking (at people) Please pick the first behavior you would like Ahimsa to focus on with your puppy.Second Behavior* Not Jumping on People Sitting Lying Down Staying Coming (recall) Touch Not Jumping on Tables and Counters Play Biting Frustration Biting Body Handling Go to Mat/Bed Leave It Leash Walking Drop It Barking at triggers Demand Barking (at people) Please pick the second behavior you would like Ahimsa to focus on with your puppy.Third Behavior* Not Jumping on People Sitting Lying Down Staying Coming (recall) Touch Not Jumping on Tables and Counters Play Biting Frustration Biting Body Handling Go to Mat/Bed Leave It Leash Walking Drop It Barking at triggers Demand Barking (at people) Please pick the third behavior you would like Ahimsa to focus on with your puppy.Describe any behavioral concerns (if any)Puppy’s Living EnvironmentList your puppy’s favorite activities Tug-of-war Car Rides Walking With You Running With You Rough and Tumble Play Training Please let us know your puppy's release word. A release word is used for behaviors that have a defined beginning and end, such as stay, wait or go to bed. Examples of good release words are: “free,” “all done,” “release,” and “break.” If we do not receive your release word, we will default to “free.”Please briefly describe your puppy's play with other dogs or puppies, if any.This field is hidden when viewing the formPhoto of your dog (optional)Accepted file types: jpg, gif, png, jpeg, Max. file size: 2 GB. CAPTCHA
