June 14, 2008

Workshop Entry Form

Please fill in the following information to enter in the One Day, Comprehensive Dog Training Workshop.

Audit Only participants, fill in only information designated with *

  1. Please provide the following contact information:

    *First Name
    *Last Name
    *Street Address
    *Address (cont.)
    *City
    *State/Province
    *Zip/Postal Code
    *Home Phone
    Work Phone
    Cell Phone
    *E-mail
    *Repeat E-mail

  2. Dog's Name

  3. Breed

  4. Dog's Age

  5. Dog's Gender

    Male
    Female

  6. Is your dog spayed or neutered?

    Yes
    No

  7. Have you trained a dog before?

    Yes
    No

  8. Has the dog you are entering in the workshop been trained before?

    Yes
    No

  9. Please describe this dog:

    Mouths, but doesn't really nip or bite
     Nips at people or other pets
     Bites people
     Bites other animals (dogs, cats etc)

  10. Select any of the following options that apply to your dog:

    Barks more than I would like
     Pulls on the leash
     Jumps up on people
     Charges out of doors
     Does not come when called
     Runs away
     Chases bikes
     Chases cars
     Chases people
     Chases cats or small animals

  11. Select any of the following options that apply to your dog:

    Does not sit when told
     Sits when told but does not stay
     Does not lie down when told
     Lies down but does not stay
     Stays most of the time, unless there is a distraction
     Stays even when there's a distraction

  12. Which of the following training tools have you used?:

    Choke / Slip Chain collar
     Head Halter
     Prong / Pinch Collar
     Plain, buckle collar
     Body Harness

  13. Which training tool do you use most often on the dog you are entering in the workshop?:

    Choke / Slip Chain collar
    Head Halter
    Prong / Pinch Collar
    Plain, buckle collar
    Body harness

  14. How do you currently manage your dog?

    Indoors - let out in fenced yard
     Indoors - let out in yard with electronic perimeter fence
     Indoors - let out on chain
     Indoors - take out for walk on leash
     Indoors - let out into unsecured yard
     Mainly outdoors in fenced yard
     Mainly outdoors in electronic perimeter fenced yard
     Mainly outdoors in kennel or pen
     Mainly outdoors on chain

  15. Please describe what you hope to gain from the Dog Training Workshop?

  16. Please provide any other information you may want to offer regarding you or the dog that you feel is relevant to entering the workshop.

T. Rogers.
Copyright © 2007 [DarnFar Ranch]. All rights reserved.
Revised: 02/04/08