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Leash Reactivity
Separation Anxiety
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Home
Leash Reactivity
Separation Anxiety
Meet DOGWIT
Contact
Please complete the following form to register for our Private Leash Reactivity programs.
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Indicates required field
Name
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First
Last
Email
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Address
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Phone Number
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How did you hear about Dogwit?
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Select your program
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4-week Private Program
6-week Private Program
8-week Private Program
Single Virtual Session
Single In-Person Session
Desired Start Date & Time
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2nd choice of Start Date & Time
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Dog's Name
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Dog's Birthdate
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Dog's Gender
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Female Spayed
Female Unaltered
Male Neutered
Male Unaltered
Dog's Breed
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Weight
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Where did you obtain your dog? (name of breeder, name of rescue) How old were they when you acquired them?
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Who is your dog's veterinarian? (clinic name and vet name)
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Is your dog up to date on vaccinations?
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Yes
No
Tell us about your dog's personality
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Is your dog on any medications or supplements? Please list.
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Does your dog have any allergies or food sensitivities?
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Do you have any other pets? Please list (species, breed, age) and include how your dog gets along with each
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Please list all family members in the home and include how your dog gets along with each
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What kind of walking equipment do you use? (eg. front-clip harness, retractable leash, 6 foot leash, martingale collar, prong collar, etc)
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Has your dog had previous training? If so, please provide the name of the trainer. What type of training techniques were used?
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Has your dog ever shown any aggressive behaviour towards a person (lunging, barking, biting)? Please describe. How did you handle the situation and how did your dog respond?
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Has your dog ever shown any fearful behaviour towards a person (cowering, shying away, growling)? Please describe. How did you handle the situation and how did your dog respond?
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Has your dog ever bitten a person? If so, please describe the situation. Was medical attention required? Was the bite reported to the authorities?
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Has your dog ever shown any aggressive behaviour towards another dog or animal? Please describe. How did you handle the situation and how did your dog respond?
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Has your dog ever shown any fearful behaviour towards another dog or animal? Please describe. How did you handle the situation and how did your dog respond?
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Has your dog ever bitten another dog or animal? If so, please describe the situation. Was medical attention required? Was the bite reported to the authorities?
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While walking on-leash, how close does a trigger need to be in order for your dog to react? (eg. across the street, a block away, within sight, etc)
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What are your goals for your dog?
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Have you ever considered euthanasia due to your dog's behaviour challenges?
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Please list any other behaviour challenges not identified previously
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Do you have any additional comments that we may find helpful?
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Upload your favourite photo of your dog!
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Max file size: 20MB
Waiver, Assumption of Risk, and Hold Harmless Agreement
I understand that dog training and interaction is not without risk to myself, members of my family or guests who may participate, or my dog, as dogs may go through times where they are difficult to control even when handled with the greatest of care. I agree that I will abide by all safety rules and requests provided by Dogwit Training Inc.’s representatives. I give Dogwit Training Inc. permission to take my dog for veterinary care, should it be required, at their discretion. I agree to pay all resulting veterinary fees.
I hereby waive all claims for damage and release and forever discharge Dogwit Training Inc., their directors, officers, employees, assistants, volunteers and representatives from any and all claims, damages, losses, or liabilities of any nature, for injury or damage which I, my dog, or my guests may suffer in connection with my participation in training services offered by Dogwit Training Inc., including specifically, but not without limitation, any injury or damage resulting from the action of any dog, travel to and from training environments, and participation in a group class. I expressly assume the risk of such damage or injury when participating in any training session or other function.
Do you understand and agree to the terms outlined in the above Waiver, Assumption of Risk, and Hold Harmless Agreement?
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I agree
I understand that there are no refunds offered for behaviour modification programs.
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I agree
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Home
Leash Reactivity
Separation Anxiety
Meet DOGWIT
Contact