Leader of the Pack Canine Institute -Allentown, PA- Board and Train Consultation Form

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email

Dog's Name*

Dog's Breed*

Dog's Birthday*

Sex*

Male
Female

Spay / Neuter?*

Spayed
Neutered

Is your dog a rescue?*

Yes
No

Does your dog have any history of abuse or neglect? If so, please explain*

Does your dog have any medical issues, allergies or sensitivities that we should be aware of?*

List all medications that your dog is currently taking or has taken in the past few days.*

Does your dog display any fearful behaviors around people?*

Has your dog ever had a negative experience with a specific type of person in the past? If so, please be as descriptive as possible.*

Has your dog ever had a negative experience with a specific type of dog in the past? If so, please be as descriptive as possible.*

Please describe any prior training that your dog has had before coming to LOPCI*

Does your dog have any specific triggers that can elicit aggressive behaviors towards either humans or dogs?*

Other pets in the household? If yes, please list species, sex, age, breed and if spayed or neutered.*

List all humans in the home who have regular interactions with the dog. Please provide their first names and their ages.*

Is there a specific human in the home whom the dog disrespects more than others? If so, please list the humans name and age along with what behaviors the dog shows when interacting with that human.*

Is there a specific human in the home whom the dog respects more than others? If so, please list the humans name and age along with which disrespectful behaviors tend not to be displayed when interacting with that human.*

What training tools have you tried with your dog? (i.e. clicker, martingale, training collar, no pull harness or e-collar).*

What would be your number one goal with training your dog? Do certain commands take priority over others?*

How does your dog typically react when seeing other dogs or humans when on a leash?*