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Booking Form
Name of your dog ………………………..............................................
Age of your dog ……….............................
Breed of dog ……………………...................... email: ……………………………………………………….
Your name ……………………….................
Tel no ……………......................................................................
Address: ……………………………………………………………………………………………………….
Vet practice ……………………………………..
Where did you hear about my services
………………………........................................................................................
Does your dog have any physical/medical conditions, if so what
...............................................................................................................
Do you have children at home if Yes What ages
…......................................................................................
What diet are you feeding your dog ……………………………………………………………………………
What do expect to gain from this course ………………………………………………………………………
Is your dog insured? If so with which company
…………............................................................................
How many times a day is your dog exercised and for how long each time?
………………………………………………………………………………………………………………….
Please tick any of the below that you may have, puppies normally use their mouths a lot, nipping your hands and clothes, but please tick if your puppy has done it.
• Chewing items
• Aggression toward people/ children / dogs
• Barking
• Anxiety/barking or chewing when left alone
• Toilet training problem
• Fears of anything - please state what
• Hyperactivity
• Noise phobia
• Pulling on lead
• Biting hands/clothing -
• List any other behaviours you would like help with:
Do you have any physical disabilities I would need to know about i.e hearing or sight problems. ……
……………………………………………………………………………………………………………….
Has your dog been to any of the following: Please tick.
Puppy party at a vets Puppy training group Dog training classes
One to one training Seen a behavioural consultant.
It is strongly advised that you insure your dog for third party liability either with full vet cover or not.
I accept responsibility for any behaviour my dog shows at your training classes, one to one lessons or elsewhere. I am responsible for controlling my dog at all times.
Signed ………………………………........ Date …………………………………………….........
You may either send a cheque payable to J. Jones to Fratton, Golf Links Road, Yelverton PL20 6BN
Please contact me by phone/email for prices for each of the courses before you email back the form
To Download This Booking Form ( Click Here ) If you do not have Adobe Reader Click on this Box and download it free. This will enable you to print it off or e-mail it back to us.
Phone : 01822 853350 © 2007Alpha Dog Training
E-Mail : jacqui@alpha-dogtraining.co.uk