New Client Intake Form

The intake form must be completed and submitted at least 48 hours before your scheduled session to avoid cancellation or rescheduling. Please set aside 15-20 minutes to fill it out. Once you start, you won’t be able to save and return to it. The more details you provide, the better we can assist you! 🐾

Contact Information

Primary Guardian's Full Name: *

This person will be primary point of contact

Text Number *

Email *

Address: *

City

State

Country

Postal code

My shipping address is the same as the one above: *

Yes

Please provide your shipping address: *

This is where we will ship any materials, if applicable

Pet Information

Pet Name *

This is specifically for the dog you want help with. Pet household members will be added later.

Pet sex *

Pet Age (specify years or months) *

Breed *

Weight *

Spay / Neuter? *

If yes to spay/nueter, what age was your pet altered? Any changes after altering? *

How long have you had your pet? *

Where did you obtain your pet? *

Briefly describe your pet's personality: *

Reason for Training

Describe more about the challenges you're facing: *

What training goals do you have for your dog? *

If applicable, what do you think caused the challenge(s) you're facing? *

What have you already tried in order to address the challenge(s)? *

Pet Household Members

Are there other pets in the household (dogs, cat, bunnies, etc)? *

Yes

PET 1: Name / Sex / Age / Species / Breed *

PET 2: Name / Sex / Age / Species / Breed

PET 3: Name / Sex / Age / Species / Breed

Briefly describe how pets get along with each other. (Sleep together? Mostly co-habitate? Play together?) *

Human Family / Friends:

Are there others living with you in the home? *

Name of each family member living in the home, including gender & age: *

Are there others outside the home that are involved in training or taking care of your dog? (e.g. pet sitter, dog walker, dog trainer)

Provide the names, roles, genders, and ages of your outside helpers: *

Any issues or concerns with how the dog interacts with any of the people listed above? *

Yes

If yes, describe. *

The Home Environment

Are there any recent or upcoming changes to the household? (new baby, new pets, new roommates, moving, etc) *

Yes

Potentially

If "yes" or "potentially", please describe. *

Do you currently use a crate? *

What do you use the crate / playpen / x-pen for? *

What do you want to use the crate / playpen / x-pen for? *

When and why did you stop using the crate? *

Describe your dog's reaction to being crated / confined: *

Food and Daily Activities

Type of food (Brand / Dry or Canned) *

How often is your dog fed daily? *

What kind of treats do you give your dog? (brand / flavor) *

Does your dog have any dietary restrictions or food sensitivities? *

If "yes" or "unsure", please describe. *

What kind of exercise and play does your dog get? How frequently? *

Average length of each play / exercise activity? *

Dog's favorite sleeping spot? *

Briefly describe the average daily routine for you & others in your household. *

Training History

Past Training

Put only PREVIOUS training the dog has experienced in this section (do not include current or ongoing training here)

Current Training Tools

Please share any training your dog is CURRENTLY experiencing in this section

Training Cues

Does your dog know any other cues that are not listed above? *

What other cues do they know and respond reliably to? *

Briefly describe any training you've done with your dog, both past and present (if applicable):

Type of training that was most successful?

Type of training that was least successful:

General Training Questions

What punishment was most effective and why? If none used, type N/A.

Does any punishment make the problem worse? If none used, type N/A.

Has your dog ever been muzzled? *

What would you like to use the muzzle for? *

If yes, what was your dog's reaction to being muzzled? *

What do you use the muzzle for? *

What are some things your dog will work for / find motivating? *

Behaviors

Are you seeking help with any of the following behaviors?:

(check all that apply):

GROOMING *

Excessive grooming / licking

Self-injury

Lick granulomas (a chronic sore caused by constant licking of the same spot)

Other

When did certain behaviors begin? What age was your dog when it started? *

What specific techniques or approaches have you tried to address these behaviors?

What techniques have been most effective?

What techniques have been least effective?

Handling and Stressors

If any selections above, please describe. If none, type N/A. *

Please describe any of the selections above. If none, type N/A. *

Housetraining Screening

Is your dog completely potty-trained (house trained)? *

Yes

It depends

Does your dog ever eliminate outside? *

Do you accompany your dog to the elimination spot? *

Does your dog urine mark? (lift their leg on vertical surfaces) *

What do you do when your dog eliminates in the correct location? *

What do you do when your dog eliminates in the incorrect location? *

Does your dog signal to eliminate? *

How often does your dog house soil? *

When is your dog most likely to house soil? *

Does your dog ever eliminate in their crate or on their bed? *

Does your dog have uncontrollable urination when excited or scared? *

Does your dog ever leak or dribble urine? *

Medical Screening

How is your dog's appetite? (normal, decreased, eats fast, etc) *

Does your pet have any arthritis or other painful conditions? *

If "yes" or "unsure", please describe. *

When did these painful conditions start?

Any recent changes to your dog's health? (This can include anything major or minor: diarrhea, vomiting, ear infections, excessive scratching, hot spots, etc.). *

If "yes" or "unsure", describe what's going on. *

Does your pet drink or urinate excessively? *

Dog's stools are: *

Has your dog been diagnosed with any illness/medical conditions? *

When were they diagnosed?

What is their diagnosis and treatment plan? *

Has your dog had any recent vet visits within the past 6 months? *

When was this visit(s)? *

Please describe the reasons for the vet visit(s) and any findings from your veterinary team: *

When is this visit scheduled? *

Has your pet had any laboratory tests? If so, what were the results?

Does your dog have any allergies, including food allergies?

What allergies does your dog have? If unsure, please explain:

Is your pet currently on any medications and/or supplements? *

When did your dog start taking their medication / supplements? *

What medications / supplements? Include name of medication, dosage, and frequency given. *

Have there been any recent changes to the medication / supplements? (dosage amount, frequency, type of medication, new medication, etc.). If yes, what date was the most recent change? *

When do you plan to start administering medication / supplements? *

Departure Screening Behavior

When you leave your home, is your dog confined or crated? *

How long is your dog left alone on an average day? *

How does your dog react when you prepare to leave? *

How does your dog react at the time of departure? *

How does your dog react to being left alone in the car? If never alone in car, type N/A *

What is your dog's reaction to when you come home? *

Does your dog exhibit any behavior problems when you leave them alone? *

Please describe behavioral concerns when left alone. *

Reactivity Screening

Describe any selections above. If none, write N/A. *

Aggression Screening

Do you have concerns about aggressive behaviors? (e.g. biting, hard nips, threatening displays) *

Is aggression the primary reason for our visit? *

Are any of your dog's aggressive behaviors new, or has it been an ongoing? *

When did the aggressive behavior start? *

If this behavior has been ongoing, how long has this behavior been happening? *

When was the most recent attempt to bite or threaten? Describe in detail. *

Are you able to prevent episodes in the future? *

Is the situation serious enough that you'd be unable to keep your pet if the issue isn't improved? *

Has your dog ever been quarantined, is currently under quarantine, or involved with animal control for any reason? *

Please explain the quarantine and/or animal control situation: *

Is your dog ever aggressive to humans living in your home? Describe. *

Is your dog ever aggressive to visitors in your home? Describe. *

Is there a particular type of person, location, and/or situation where aggression is most likely to occur? Describe. *

Has your dog ever bitten hard enough to bruise or break skin? Describe. *

When your dog threatens or attempts to bite, how do you handle the situation and what is the dog's reaction? *

After your dog has bitten, how do you handle the situation and what is the dog's reaction? *

How would you describe your dog's attitude at the time of aggression? *

Miscellaneous

In general, is there anything else that's important for us to know about you, your dog, and/or situation? *

Do you have any pressing questions for us to discuss during your first session? *

Feel free to share a picture of your furbaby!

Service Contract

Please review this Service Contract carefully—it outlines important refund, cancellation, and training policies to ensure clear expectations.

You can access these service contract terms any time on our Training Policies page: https://borntobedogtraining.com/dog-training-policies

Training Methods and Tools

At Born to Be Dog Training LLC and Born to Be Dog Training Academy, we use only non-aggressive, force-free training methods based on the science of behavior and behavior change. These methods are endorsed by veterinarians, veterinary behaviorists, and respected organizations like the American Animal Hospital Association, the American Veterinary Medical Association, the American Veterinary Society of Animal Behavior, Fear Free Pets, and certified positive dog trainers. We do not permit the use of aversive tools, including but not limited to choke, prong, shock or bark collars, or electric fences. We also do not support the use of dominance-based training techniques, such as knee jabs, scruff shakes, side kicks, alpha rolls, spray bottles or any other forceful, painful or aggressive training methods. Shock devices and other forms of aversive ‘training’ tools are never recommended and those using them are encourage to discontinue their use before effective behavior change and modification can take place.

Commitment to Positive Training

If you feel the need to use or continue using aversive tools or methods, we are not the right fit for your training needs. Any trainer affiliated with Born to Be Dog Training LLC or Born to Be Dog Training Academy reserves the right to terminate the training relationship or withdraw as your trainer if these methods are used. Client/Owner understands that if aversive training devices or techniques are used during our contracted working relationship, no further sessions will be scheduled, all training with Born to Be Dog Training LLC and its affiliated trainers will cease immediately, and no refunds will be issued.

Client Responsibility

Training success depends on the time and effort you dedicate to working with your dog. While Born to Be Dog Training LLC and it's affiliated trainers can coach, teach, and advise, they cannot do the training for you. The progress and success you achieve will directly reflect the effort, consistency, and commitment you put into training. Remember, training is a lifelong process—continued practice is essential to maintain your dog’s progress. Without ongoing practice, behaviors may regress. Safety and setting up success for both you and your dog is of upmost importance. Please follow common sense and recommended guidelines.

GENERAL CLIENT RESPONSIBILITIES: You are responsible for the following:

Ensuring that your dog is in good health and free from any contagious diseases or conditions.
Providing proof of current vaccinations and deworming, as required by law, prior to the start of training when requested.
Complying with all applicable leash laws and ordinances when on walks or in public areas.
Providing and maintaining your own equipment, including but not limited too, a secure collar and leash for your dog during training sessions.
Arriving on time for scheduled training sessions and providing appropriate cancellation notice
Scheduling and/or requesting to reschedule sessions via Company's calendar with provided links from Company.
Participating in training sessions as directed by the Company's trainer and following through with any recommended training exercises or techniques.
Pay all session costs and applicable fees as outlined for the services you choose.

AVERSIVE TRAINING TOOLS & TECHNIQUES. You agree to use only tools, techniques, and equipment that are safe and humane for your dog. You agree not to use any aversive training tools or methods during the training of your dog. Such tools and methods include but are not limited to:

Choke chains
Prong collars
Shock collars
Invisible fences
Corrections
Physical punishment (hitting, kicking, swatting)

The use of any of these tools or methods is strictly prohibited when contracted with the Company. You understand that the use of aversive training tools or methods may cause physical and emotional harm to your dog, and may even be illegal in certain circumstances. They can also interfere with progress. If you are found to be using any aversive training tools or methods during the training of your dog, the Company has the right to terminate the training services immediately without refund. The Company is committed to using only positive reinforcement and humane training methods, and you agree to abide by this commitment throughout the duration of retaining Company services.

CLIENT TOOLS & EQUIPMENT. You are responsible for supplying all necessary tools and equipment for your dog's training, including but not limited to leashes, collars, and training treats. Born to Be Dog Training will not be responsible for providing any such tools or equipment; however, in some cases, Born to Be Dog Training may lend you our company equipment, tools, or treats for the duration of the training session at our discretion. All Company equipment and tools must be returned to Born to Be Dog Training unless otherwise agreed upon by Company. The Company may recommend certain tools or equipment for you to use during training, but it is ultimately your responsibility to obtain and maintain these items, and to follow all instructions provided by Born to Be Dog Training regarding the use of such tools and equipment.

Cancellation, Rescheduling & Refund Policy

NO-REFUND POLICY. Once payment has been made for dog training services, it is considered final and non-refundable. If you need to cancel, any payments already made may be applied as a credit toward future services, in line with our cancellation policy. Because of the nature of our services, we generally cannot offer refunds; however, in certain limited situations, the Company may make exceptions as outlined in this Agreement.

CANCELLATION & RESCHEDULING: Coaching and training sessions must be cancelled or rescheduled with at least 24 hours’ notice. Cancellations and rescheduling requests made less than 24 hours before the session will count as a completed session. Sessions cancelled or rescheduled more than 24 hours in advance can be moved to a new time without affecting your package.

Expiration Policy

All Packages expire 6 months from original payment date. There are no refunds on expired Packages. Once your Package is expired, you will need to purchase a new Package. As such, when purchasing, please make sure you can make a reliable commitment to regular training sessions. While we’ll do our best to check in and help with scheduling when needed, it’s ultimately your responsibility to make sure your sessions are booked within the agreed timeframe so you can get the most out of your training.

If extenuating circumstances prevent you from using your sessions within the designated timeframe, please reach out to us at borntobedogtraining@gmail.com. While we cannot guarantee extensions, we’re happy to review situations on a case-by-case basis and may offer flexibility at our sole discretion.

Liability and Safety

Due to the unpredictable nature of dogs and dog training, the customer agrees not to hold Born to Be Dog Training LLC, Born to Be Dog Training Academy, and any affiliated trainers liable, and further agrees to indemnify and hold harmless those parties, for any loss, damage, or injuries caused by the dog’s actions, whether during or outside of training sessions. Customer also releases and holds harmless Born to Be Dog Training LLC and any affiliated trainers from any liability for damages or injuries the Customer or its dog(s) sustain before, during, and after training sessions. Born to Be Dog Training LLC makes no warranty, express or implied, that its dog training services, and academy/coaching services will improve an individual dog’s behavior.

Supervision & Dog Safety

Client/Owner agrees to take full responsibility for your dog’s behavior and the safety of your dog and others, particularly around children or other animals. Client/Owner agrees to use training and management to prevent the dog(s) from biting or attacking any person (adult or child) or other animals. Client/Owner understands that NO DOG should ever be left alone with a child, and full, awake adult supervision is required at all times whenever children and dogs are together. Once a dog has bitten or shown aggression, it must always be supervised. Client/Owner understands that no dog can be 100% cured of aggression.

Intake Form & Liability/Service Waiver

The intake form and signed liability waiver must be completed in full and submitted prior to your scheduled session. Dog training services will not be provided without the signed liability release/service waiver. If the form is not submitted within 48 hours of your scheduled session, Born to Be Dog Training LLC reserves the right to cancel with no refund or reschedule your session for a time after these forms have been submitted.

The signed Service Contract and Intake Form remain valid for the duration of your training relationship with Born to Be Dog Training. These terms apply to your current session or package as well as any future sessions, packages, renewals, or services, unless otherwise specified in writing. One Service Contract covers all dogs in your household, even if the Intake Form details only one specific dog or if you submit multiple Intake Forms for several animals. Submission is required only once and remains in effect for the entirety of our professional relationship.

Social Media and Marketing Consent

Do you consent to the use of photos or videos from your training sessions for promotional purposes, including on social media and marketing materials, by Born to Be Dog Training LLC, Born to Be Dog Training Academy, and our affiliated trainers and their respective companies? Your name and your dog’s name will only be used for identification purposes, as appropriate. You can change or opt out of this consent at any time by emailing borntobedogtraining@gmail.com.

Please select one of the following options: *

Yes, I consent

No, I do not consent

I consent on occasion, depending on the content

Acknowledgment and Agreement

By signing below and submitting this form, you acknowledge that you have read and agree to the terms of this agreement and confirm that all information provided is accurate.

Client/Owner Signature *

Clear

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