In order to provide you with the best response related to the issues you are having with your dog, please fill out this form as completely as possible. Many questions may seem trivial but the information, put together as a whole picture, will help in diagnosing your problem.

Handler / Family Details

Your Age /
Children's Ages

Name

City

Country

Phone

Age (if under 18)

Email

Preferred Contact Method

Dog Information

Breed

Last Vaccination Dates:

Call Name

General Information

When was the last veterinarian visit?

How long have you had this dog?

Health of the dog when acquired?

Have you ever trained a dog before?

Are there any season associated problems with your dog?

Are there any health related problems with your dog?

Feeding Information

Where and how the dog eats affects the dog's overall behavior and temperament.
Please give as much detail as you can.

How many meals per day?

When was the last worming routine?

What was the dog's diet when acquired?

What is the dog's diet now?

Where and when does the dog eat?

Are there any changes in behavior after eating?

Sleep Information

Where did the dog sleep when you first adopted them?

Where does the dog sleep now?

What is your dog's normal sleep pattern?

Social Traits of Your Dog

Around other dogs, my dog is:

Around children, my dog is:

Around friendly adults, my dog is:

Around strangers, my dog is:

Your Dog Problems

I understand that attendance of dog obedience training class is not without risk to myself, members of my family or guests who may attend, or my dog, because some of the dogs to which I will be exposed to may be difficult to control and may be the cause of injury even when handled with the greatest amount of care.

I hereby waive and release ACI DOGSKOOL, hereinafter referred to an the "Training Organization", its employees, officers, members, and agents from any and all liability of any nature, for injury or damage which I or my dog may suffer, including specifically, but without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of such damage or injury while attending any training session, or any other function, of the Training Organization, or while on the training grounds or the surrounding area thereto.

In consideration of and as inducement to the acceptance of my application for training membership
by this Training Organization, I hereby agree to indemnify and hold harmless this Training Organization, its employees, officers, members and agents from any and all claims, or claims by any member of any family or any other person accompanying me to any training session or function to the Training Organization, or while on the grounds or the surrounding area thereto as a result of any  action by any dog, including my own.

No Refunds.