Eager Pup

Please fill out this form if your dog has not had classes with Eager Pup before. If your dog is a returning student, head to the Registration Page instead.

First Name:              Last Name:  
Phone:     () -
Email:     
Address:     
City:      State:      Zip code:




Name:     Gender: -- Select one -- Female, spayed Female, intact Male, neutered Male, intact
Breed(s):    Color(s):
Date of Birth:   -- Month -- January February March April May June July August September October November December   -- Day -- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   -- Year -- 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990

How/where did you acquire your dog, and how old was he?


What goals do you have for your dog?




What other animals live with your dog?


Does your dog live in the house?
YES
NO

Is he crate-trained?
YES
NO

Does he have free run of the house?


How many hours is he alone indoors each day?


How many hours is he actively engaged with his humans indoors each day?


How many young humans live with your dog?
Under 2 years old:  
Age 2 - 4:      Age 5 - 6:  
Age 7 - 10:      Age 11 - 18:  

How many adult humans live with your dog?  

Does your dog have access to a safe outdoor place to play?
YES
NO

Who plays with him outdoors, where, and what activities?


How many hours does he spend alone outdoors each day? Where?


Does he play with other dogs regularly?


How often and how long/far do you walk your dog on-lead?




How does your dog behave...
...when people come to your home?

...when he meets people on the street?

...when he meets other dogs while he's on-lead?

...when he meets other dogs while he's off-lead?


Does he have any issues with people (children, men, strangers, etc.)?


Does he chase other animals (cats, squirrels, birds, etc.)?


Do you have any concerns about your dog's behaviors?


Have you in the past, or has this dog, had any formal training? Where/with whom, and what kind?
What did you like about the training? What would you change or improve?





Please indicate any pertinent health info or allergies:


Veterinarian's Name: 
Veterinarian's Phone:  () -




May we display any photos we take of you and/or your dog during training sessions on eagerpup.com?
YES
NO

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