Board and Train Application Name * First Name Last Name Email * Address * City, State * How did you hear about us? * Google Social Media Friends/Family Other Which Board and Train program are your interested in? 3 Week Board and Train ($3,250) 30 Day Board and Train ($4,000) 45 Day Board and Train ($5,250) Do you acknowledge that if behavior modification (reactivity, aggression, fear, anxiety, etc) OR off-leash training are required, your dog MUST do a minimum of a 30 Day program? * Yes No Do you acknowledge that dogs who require behavior modification and/or off-leash training are NOT eligible for the 3 Week program?* * Yes No Dog's name, age, breed, and weight * What are your ultimate goals you wish to achieve with training? * Is your dog spayed/neutered? (We are able to train your dog regardless of whether they are spayed or neutered.) * Yes No Does your dog have any known health problems? * Is your dog on any medication? * Is your dog up to date on vaccinations (Rabies, Bordatella, Parvo)? * We also accept current titre tests. How long have you owned your dog for? * Is your dog crate trained? * Yes No They used to be If your dog is crate trained, how often and when do you use it? * We require dogs to be crate trained to ensure their safety and success. Would you be willing to introduce a crate into your routine two weeks prior to training? * Yes No Where does your dog sleep at night? * Crate Dog bed/floor Couch Your bed Is your dog allowed on the furniture? * Yes No Would you be willing to restrict furniture access before and after training? * Yes No How many people live in the house that your dog would interact with on a regular basis? Any children? * Do you have any other pets that your dog interacts with? If so, what types and how many? * Do you have a yard? * Yes, fenced Yes, NOT fenced No What is your dog's daily exercise like? * Is your dog free-fed * Yes No Would you be willing to stop free feeding your dog before training? * Yes No Not applicable to my dog Does your dog show aggression towards other dogs? Rate their behavior on a scale from 0 to 5 (0 being not at all and 5 being severe). * 0 1 2 3 4 5 Has your dog ever been involved in a fight with another dog, regardless of who initiated it? If so, how many incidents have occurred? * Does your dog show reactivity towards other dogs? This can be due to excitement, aggression, or fear. Rate their behavior on a scale from 0 to 5 (0 being not at all and 5 being severe). * 0 1 2 3 4 5 Does your dog show aggression towards humans? Rate their behavior on a scale from 0 to 5 (0 being not at all and 5 being severe). * 0 1 2 3 4 5 Has your dog ever bitten someone? If so, how many bite incidents have occurred? * Does your dog show reactivity towards humans? This can be due to excitement, aggression, or fear. Rate their behavior on a scale from 0 to 5 (0 being not at all and 5 being severe). * 0 1 2 3 4 5 Is your dog anxious? Rate their behavior on a scale from 0 to 5 (0 being not at all and 5 being severe). * 0 1 2 3 4 5 Does your dog have separation issues (barks, whines or pants excessively when you leave)? Rate their behavior on a scale from 0 to 5 (0 being not at all and 5 being severe). * 0 1 2 3 4 5 Does your dog display any problematic or unwanted barking (e.g., for attention, at other people, in response to loud noises, etc.)? Rate their behavior on a scale from 0 to 5 (0 being not at all and 5 being severe). * 0 1 2 3 4 5 Does your dog jump or play bite? * Jumping Play Biting Neither Does your dog chase animals, cars, bikes, etc? Rate their behavior on a scale from 0 to 5 (0 being not at all and 5 being severe). * 0 1 2 3 4 5 Is your dog demanding or pushy for attention? Rate their behavior on a scale from 0 to 5 (0 being not at all and 5 being severe). * 0 1 2 3 4 5 Does your dog dig holes or chew and destroy things? * Digging Destructive Chewing Neither Is your dog disobedient or defiant? Rate their behavior on a scale from 0 to 5 (0 being not at all and 5 being severe). * 0 1 2 3 4 5 Is your dog dominant? Rate their behavior on a scale from 0 to 5 (0 being not at all and 5 being severe). * 0 1 2 3 4 5 Is your dog insecure or nervous? Rate their behavior on a scale from 0 to 5 (0 being not at all and 5 being severe). * 0 1 2 3 4 5 Does your dog have any fears? If so, what are they? * Is your dog territorial? Rate their behavior on a scale from 0 to 5 (0 being not at all and 5 being severe). * 0 1 2 3 4 5 Does your dog resource guard (do they become aggressive and possessive over food or toys)? Rate their behavior on a scale from 0 to 5 (0 being not at all and 5 being severe). * 0 1 2 3 4 5 Does you dog pull on the leash when you walk them? * Yes, they pull the entire walk Yes, but they only pull occassionally No, they do not pull What type of collar/harness do you usually walk your dog with? * Does your dog run out doors or run away? If your dog has run away from home before, please explain what happened. * Do you acknowledge that a Board and Train provides a solid foundation, but consistent follow-through and maintenance are REQUIRED to ensure your dog’s success? * Yes, I will continue and maintain the training No I acknowledge that I have reviewed and agree to the prices listed on Canine Karma Training's website. * Yes No I am eligible for the 10% Military, Law Enforcement, and First Responders discount. Do you have any specific dates you would like to reserve? Do you acknowledge that Canine Karma Training requires a nonrefundable $500 deposit to secure your training dates? * Yes No Do you acknowledge that once dates are offered to you, if you choose to wait more than 48hrs before placing the deposit, the availability may expire/be offered to someone else? * Yes No Do you understand that after submitting an application, one of our trainers will contact you via email to reserve your dates? * Yes, I will check my emails for a response No Keep an eye on your email – we’ll be reaching out with a response to your application! If needed, we can arrange a brief follow-up phone call to answer any questions. Emails may end up in your spam folder so be sure to check. * I will check my email Thank you!
