SECTION 1: CLIENT INFORMATION

Please fill out the following form.

First name

Last name

Phone

Email

Address

Emergency Contact Name

Emergency Contact Phone Number

SECTION 2: DOG INFORMATION

Initials

I declare that the info I’ve provided is accurate and complete.

Dog’s Name

Breed(s)

Age or Date of Birth (if known)

Weight (approx.)

Sex

Male (intact)

Male (neutered)

Female (intact)

Female (spayed)

How long have you owned this dog?

Where did you acquire your dog? (Breeder, rescue, shelter, private rehome, etc.)

SECTION 3: VETERINARY & HEALTH INFORMATION

Veterinarian or Clinic Name

Clinic Phone Number

Is your dog current on Rabies and core vaccinations?

Yes

No

Date of last Rabies vaccination

Please list any medical conditions, injuries, physical limitations, or recent surgeries

Is your dog currently on medication?

Yes

No

If yes, list medications and reason

SECTION 4: BEHAVIOR HISTORY

Known behavior concerns (select all that apply)

Fearful or anxious

Reactive to dogs

Reactive to people

Resource guarding (food, toys, space)

Separation-related behaviors

Aggression (growling, snapping, biting)

Excessive barking

Pulling on leash

Jumping on people

No known behavior concerns

Has your dog ever bitten or attempted to bite a person or animal?

Yes

No

If yes, describe the incident(s), including context and severity

Has your dog ever been declared dangerous or aggressive by animal control, a municipality, or housing authority?

Yes

No

SECTION 5: TRAINING BACKGROUND

Previous training experience

None

Group classes

Private lessons

Board & Train

SECTION 6: TRAINING GOALS

What are your primary goals for training your dog?

What situations are currently the most challenging with your dog?

SECTION 7: REQUIRED LEGAL ACKNOWLEDGMENTS

Assumption of Risk

I understand that working with dogs involves inherent risks, including but not limited to bites, scratches, injuries, or property damage.

I AGREE

Disclosure & Accuracy Statement

I confirm that all information provided is true and complete to the best of my knowledge. I understand failure to disclose known behavior or bite history may result in termination of services without refund.

I AGREE

Liability Waiver & Release

I agree to release and hold harmless Bigfork Dog Training, its owner, trainers, assistants, and representatives from any claims arising from participation in training services, except in cases of gross negligence or willful misconduct as defined by Montana law.

I AGREE

Responsibility for Dog

I understand I am solely responsible for the behavior and actions of my dog at all times.

I AGREE

Use of Training Equipment

I understand that training may include the use of equipment such as leashes, long lines, prong collars, or electronic collars when appropriate and explained by the trainer.

I AGREE

No Guarantee Clause I understand that dog training results are not guaranteed and depend on multiple factors including consistency and handler compliance.

I AGREE

Health Confirmation - I confirm my dog is healthy, free of contagious illness, and safe to participate in training.

I AGREE

PHOTO & VIDEO RELEASE - I grant permission for Bigfork Dog Training to use photos or videos of me and/or my dog for training, educational, or marketing purposes.

YES

NO

Signature

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