Reactive Dog Classes Registration From

Start date:

Your Details
Name: / Landline:
Email / Mobile:
Address: / Postcode:
Do you have any special requirements we need to be aware of? Eg wheel chair access?
Your Dog’s Details
Name: / Sex / Male c Female c
Breed: / Date of birth:
Name of vet & practice:
Date of last vaccination(s) / Neutered? / Yes c No c
Does your dog have a dietary issue? / If yes, please give details:
Does your dog have any special requirements? / If yes, please give details:
How long has your dog lived with you?
Is your dog a rescue? / If yes, please give date of rehoming & rescue centre:
Is your dog from a breeder? / If yes, please give name of breed:
How did you find us?
Please tell us where you first heard of You And Your Pet Behaviour & Training classes / Word of mouth c
Vets c Please specify which practice:
Internet:
Google c Website c Facebook c Twitter c

Please return this form and keep a copy for your own records.

Signed: Date:

Please describe your dog’s reactive behaviour…
How old was your dog when this behaviour started?
What was the first incident?
Does your dog react to? Dogs, people
What are your dog’s know triggers?
What is your dog’s bite history?
What training methods have your tried?
What was the outcome?
Please give details of any other trainer or behaviourist you have seen?

You And Your Pet Behaviour & Training

Shelley Aspden

07912552736 / 01772 434964 /