330-315-DOGS

Pet Information Form

Please fill this out after your appointment is set up, so Mike arrives prepared to work with your pet.

When you’re done, click Send to Mike at the bottom. You can also download a copy of the completed form for your records. Your answers are saved in this browser as you go, so you can come back and finish later.

Please note: the trainer may video record the training session for internal review and/or use in marketing material. We respect your privacy; please let the trainer know of any concerns as soon as he arrives at your location.

Prefer paper? Download the PDF or Word version instead.

Client information

Ignore any questions for species other than the pet you are requesting services for.

Best number to reach you

Your pets

Fill in Pet B only if you are requesting services for a second animal.

Pet A
Pet B
How long have you owned the animal(s)?

Health and veterinary care

Any medical conditions, prescriptions, or is your pet on a restricted diet?
Pet A
Pet B
Last vet or clinic visit (date and reason)
May we consult with your vet?
Does your pet have an identification chip?
Pet A
Pet B
Does your vet ever muzzle your dog for routine procedures?
Pet A
Pet B
What type of collar does your dog normally wear?
Pet A
Pet B

Background

Why did you get your dog? Check all that apply.
Why did you select this breed or type of dog?

Aggression history

Has professional medical treatment been needed, for people or pets, as a result of animal aggression?
Have legal authorities ever been contacted as a result of aggression?

Has your pet ever…

…threatened (growl, snarl, hiss, snap, bite, kick) any person or companion animal?
Pet A
Pet B
…injured any person or companion animal?
Pet A
Pet B
…delivered multiple bites, kicks or scratches during one incident?
Pet A
Pet B
…delivered one or more deep puncture wounds, or bites with a tearing motion?
Pet A
Pet B
Have you or anyone else tried to correct the aggression?
Have you considered re-homing your animal?
Have you considered euthanasia?
Do any caregivers (vet, groomer, etc.) sedate or restrain your animal for routine care?

Training

Do your pet(s) know any commands or tricks?
Pet A
Pet B
Check all the methods you have used to train your animals
Have you ever used training aids such as a slip, choke, prong or pinch collar, head halter, stud bit or clicker?
Is your dog or cat reliably house-trained or litter box trained?
Pet A
Pet B

Daily life

Is your inside animal ever confined when you are home?
Pet A
Pet B
Describe your pet’s outside area
Do you take your pet(s) on outings?
Pet A
Pet B
If not, is it because of their behavior?
Pet A
Pet B

Food and household

What brand or type of food do you feed your pets?
Does your pet tend to seek out warm spots inside (near the refrigerator, vents, sunny spots)?
Pet A
Pet B
Has your pet gained weight in the past three months?
Pet A
Pet B
Has your pet’s coat changed in the past three months?
Pet A
Pet B

Scheduling

What days and start times are best for you? Check all that apply.

Click and drag across the grid to select several start times at once. Click a day or an hour to select that whole row or column. Grey boxes are not available.

Day
:00:30:00:30:00:30:00:30:00:30:00:30:00:30:00:30:00:30:00:30
Mondays 10:00am not availableMondays 7:30pm not available
Tuesdays 10:00am not availableTuesdays 7:30pm not available
Wednesdays 10:00am not availableWednesdays 7:30pm not available
Thursdays 10:00am not availableThursdays 7:30pm not available
Fridays 10:00am not availableFridays 3:30pm not availableFridays 4:00pm not availableFridays 4:30pm not availableFridays 5:00pm not availableFridays 5:30pm not availableFridays 6:00pm not availableFridays 6:30pm not availableFridays 7:00pm not availableFridays 7:30pm not available
Saturdays 10:00am not availableSaturdays 7:30pm not available
Sundays 10:00am not availableSundays 10:30am not availableSundays 11:00am not availableSundays 11:30am not availableSundays 12:00pm not availableSundays 7:30pm not available

Service selection

Until services are confirmed, prices, services, plans and terms may be subject to change.

Please choose your initial service type

Travel fees: clients within 16 miles (driving distance) of the US-224 and I-77 interchange in Akron pay no travel fee. Farther than 16 miles is billed at $0.75 per mile, both directions, rounded up. K9 Solutions will drive up to 160 miles at this rate; beyond that, ask for a long-distance quote.

Terms and conditions

This agreement is between The K-9 Solution of Ohio, LLC (including all agents, representatives, or associated parties), hereafter listed as K9 SOLUTIONS or RELEASEE, and the client named in this Agreement as “Client / RELEASOR”, hereafter listed as CLIENT or RELEASOR. The terms and conditions of this agreement may not be changed orally. Any deviation from this agreement does not alter the remaining portions. This agreement is non-transferable.

The “Half Session” included with the K-9 Training Program shall be scheduled and completed within sixty (60) days of the “Full Session”. All unused “Half Sessions” are forfeited at the end of the sixty (60) day period. No refunds are given for unused “Half Sessions”.

CLIENTS that contact K9 SOLUTIONS to reschedule appointments within 24 hours of a scheduled appointment will be charged a rescheduling fee of $25.00.

K9 SOLUTIONS agrees to instruct the CLIENT in K9 SOLUTIONS’ philosophies and preferred method of training for the amount of time allocated to the session. CLIENT agrees that K9 SOLUTIONS is in no way responsible for the behavior of the animal during, or following, all sessions. K9 SOLUTIONS does not guarantee specific results, but does guarantee to provide the services as described in this contract.

CLIENT agrees to control normal household distractions such as television, telephone interruptions, and children or foot traffic, or to provide a quiet distraction-free area for the sessions as per K9 SOLUTIONS representative’s requests.

If at any time during the Course Period the K9 SOLUTIONS representative feels the animal is ill, abused, or exhibiting any behaviors that interfere with teaching methods or endanger the health and safety of any participants or bystanders, including the animal, or K9 SOLUTIONS representative feels Client has motives, goals, or demands that are not in concert with K9 SOLUTIONS Code of Ethical Conduct, our representative may abort the session, alter the service selection, and/or alter the length of the Course Period at the expense of CLIENT.

By signing below, I understand that every animal reacts in a different manner to training and that animals are by nature unpredictable. Therefore training requires full attention and total awareness at all times. Animals may, without warning, cause injury to humans and/or other animals and I, the undersigned as RELEASOR, in consideration of K9 SOLUTIONS as RELEASEE, release and indemnify RELEASEE’s owners, heirs, executors, administrators, successors, employees, agents, directors, officers, and anyone acting in the scope of business as a representative of K9 SOLUTIONS as to attacks, bites, kicks, scrapes, scratches, mauling, or all of them, by animals to any persons or animals including my own, before, during and after any sessions with K9 SOLUTIONS personnel.

This contract may not be changed orally.

The original signed copy of all pages must be presented to K9 Solutions before services start.

Ready for a better-behaved dog?

Call Mike to talk through what’s going on and set up a visit.