Training Registration Form
This form will be kept on file for as long as D&B Services, LLC DBA: Miracle Paws provides on-going services for your dogs. Please be truthful with your answers and as long as you are realistic and can make a long term commitment, we can help you to become a better pet parent to your dog. We will help you learn how to build on your dog's strengths and on his weaknesses.
Dog Name: * Today's Date: *
How did you hear about us? * Describe obedience commands that your dog understands: *
Sit, place, come, ect-
Describe what behavior issues that your dog is having: *
For the safety of our staff and for our other guests: If your dog has ever shown any aggression or guarding to other dogs, please call us prior to completing this form for a quick preliminary interview. We cannot provide care or training for any dogs that have shown any aggression towards any humans or other dogs.
Describe your dogs temperament on most days, please be as thorough as possible, the more we know about your dog the better we can help you *
Laid back, energetic, happy, sad, anxious, nervous, fearful, excitable, serious, shy, playful, goofy, instigator, happy go lucky, nosey, mischievous, destructive, protective, aggressive, guards toys or food, ect-
Describe what your short and long term goals are with your dog? *
And do you want a dog that will be a home companion or one that you can take with you to pet friendly places or a service dog?
Dog date of birth or approximate age: * How long have you had this dog and did you get him as a rescue or from a breeder, a friend, ect- * What is the breed of your dog: * What is your dogs sex? * Has your dog been spayed or neutered? * Dog's weight: * Has your dog ever escaped from any fencing?
Does your dog engage with other dogs or does he hang to himself when there are other dogs around? *
If so, describe what types of dogs and how the dogs reacted to one another at the initial meeting and afterwards.
Does your dog share toys, treats or food with other dogs or people? * What is your dogs response to other dogs away from home? * Has your dog ever attended training classes, daycare or has the dog ever been kept overnight for boarding? *
Will your dog go into a crate/kennel/pen while you are at home and when you are away from home? *
Please describe the dogs reactivity to going into a confined space and then what is his reaction to being inside a small confined space for a few minutes or hours?
Describe what a typical day consists of for your dog: * Does your dog run everyday? *
If so, how many times a day and for how long? And is he playing by himself (zoomies) or is he running with other dogs or are you playing fetch, ect?
Do you have a fenced in yard? *
If so, what type of fencing do you have and how large is the area?
Does your dog typically stay inside or outside? *
Please describe for how long and when-
Does your dog suffer from anxiety or nervous energy? * What does your typical daily work or school schedule look like? What days and times are you home with your dog? * Where does your dog typically hang out when your watching TV, relaxing and when your cooking, cleaning, ect? *
On the sofa, in a dog bed, cot, in his kennel, outside, ect-
Does this dog suffer from any chronic illnesses like skin rashes, allergies, diabetes, ect? What is the overall health condition of the dog? Are there any places that your dog does not like to be touched or picked up? If so, please explain. * Is your dog pregnant, in heat or sick with contagious conditions like: diarrhea, coughing, worms in stool, skin breakouts, fleas or ticks? If so, we cannot provide care or training for your dog. *
If your dog has a skin rash, we will require a letter of clearance from your vet. Please always contact us to reschedule any appointments if your dog shows any signs of sickness prior to your upcoming session.
Does your dog have any allergies or non-contagious conditions? If you are considering board and training with us: Does your dog need for us to provide them with any medications during their stay with us? Please provide all details * Obedience Training Program Options
Pick any training programs that most interest you. All of our training programs start with a 50.00 orientation and evaluation appointment that includes a troubleshooting training session. Please pick the programs that interest you the most-
Let's set up your first appointment that will include an orientation/evaluation/training session. What dates and times work best for you? *
We try to be flexible and our first appointments are usually 1-1.5 hours long. We can accommodate appointments Mon, Tue, Wed & Friday 9am-7pm and Saturdays 10am-2pm.
Dog Parent Name: *
Alternative Dog Parent Name:
Cell Phone: * Alternate Phone: Email *
Name of an emergency or alternative person that is over age 18 and that you authorize to pick the dog up and that can make medical decisions for you and your dog: *
Emergency "Agent" Contact #: * Alternative Emergency Contact #: Vet Name: * Vet Phone#: * Do you agree to provide a current copy of your dogs vaccination records prior to coming onto the property *
You can upload a copy below, or you or your vet can email a copy to: firstname.lastname@example.org. You can bring a copy with you to our meet and greet session. Dog Vaccinations: DPP*
1 or 3-yr. vaccine required
*Distemper, Parvovirus & Parainfluenza Bordetella
Rabies- 1 or 3-yr. vaccine required
Heartwork and Fleas & Tick preventatives
You can upload a copy of the dogs vaccination records here.
Current copies are required for your dog to visit or to stay with us.
In the event that your dog escapes or is found to have fleas, ticks, illness, injury or death: you and your agent will be called as soon as posible. Depending on the situation, we have the right to take your dog to a veterinarian of our choice and you agree to be responsible for all expenses for boarding and care that they provide to your dog. And you also agree to be responsible for all expenses for any other dogs that your dog caused injury or illness to.
I have read and agree with the terms and conditions * Digital signature: *
By typing your name here, you are agreeing to the terms and conditions of this agreement. You will get a email confirmation when the application is received. If you do not hear back from us within a few hours, please call us! 864-314-1804
****After you hit submit: If you are not immediately redirected to our Happy Tails page then you will need to scroll down a bit to make corrections. If you are not redirected to the Happy Tails page, your form is missing information and we will not receive the form.*****