Sign Up - You Silly Dog

Date*

Name(s)*

Address*

Street Address City State / Province / Region Postal / Zip Code Country

Phone*

Alternate Phone Number

Email*

How did you hear about You Silly Dog?*

Would you prefer:

In-person Lessons

Virtual Lessons

Number of adults in home*

Number of Children (list ages)

Other pets in home (list type and ages)

Dog Name*

Breed (if known, or best guess)*

Sex*

Male

Neutered Male

Female

Spayed Female

Birthdate (approximate)*

Veterinarian or Veterinary Practice*

Are there any medical problems or allergies with your dog(s) or with you that I should be aware of? (e.g. dog is gluten-free or allergic to chicken, you use a cane, you’re allergic to peanut butter, etc)*

When and where was your dog obtained?*

Where does your dog sleep?*

Is your dog…*

House Trained

Crate Trained

Crate location if crate trained

How often is your dog fed?*

Brand of food*

Is your yard fenced?*

% Indoors/Outdoors*

Number of dog walks per day*

Average duration of each walk?*

How many hours a day is your dog alone?*

Additional forms of regular exercise (e.g. dog park, daycare, fetch)*

Has your dog now or ever exhibited aggression and/or bitten (excluding puppy/play nipping) any dog or person?*

Yes

No

Please explain people aggression/biting

Does your dog guard food, toys or people?*

Yes

No

Please explain guarding

List any previous training, including anything you've done on your own*

What would you like Alisa to help you and your dog with?*

Sign Up for Training!