Dog Talk Media © All Rights Reserved 2011
Canine Life Coach
Dog Talk LLC
A Training and Wellness Sanctuary for Dogs and their Humans!
Awareness, Education, Relationship, Well-Being
Level 1 & 2
Pet Therapy Training
Name of Owner
Children / Names and Ages
Spay / Neuter
Have you owned a dog before?
Have you trained dogs before?
If so, where and when?
Briefly share issues that bring you to class.
What are your goals in class?
Do you have any hearing, visual or physical challenges?
Does your dog have any challenges that may affect training?
Any illness or skin disorder treated by a Vet in the last six months?
What kind of dog food (brand, kibble, canned, other)?
What kind and frequency of exercise does your dog get?
Name of Veterinarians
Date of last wellness check and rabies Vac?
Have you read and do you accept the Terms of Agreement?