Oscar's Pet Resort Oscar's Pet Resort
Private Training Questionnaire/Application
Please have your veterinarian fax us a copy of your pet's current vaccinations to (717) 397-0731 or bring a copy with you. We must have veterinarian letterhead on the vaccination schedule. We require Rabies, Distemper, and Bordetella.


General Information:
Parent's Name:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Work Phone:
Email:*
Best Way to Reach You:
Veterinarian:
Vet's Phone Number:
How Did You Hear About Us:
 
Your Pet:
Pet's Name:
Breed/Mix:
Color:
Weight:
Birthdate:
Gender: Male Female
Status: Intact Neutered / Spayed
Age When Altered:
Did you notice any short or long-term changes in your dog's behavior after altering? Yes No
Was your dog altered because of a behavior problem? Yes No    If Yes, Please Explain:
Are your dog's vaccinations up to date? Yes No
Does your dog have any medical conditions? Yes No    If Yes, Please Explain:
Is your dog currently given any medications?: Yes No    If Yes, What Medications?
Where Did You Acquire Your Dog?(List breeders name, shelter, pet store, etc.)
Behavior of Parents or Litter Mates:
 
Environment/Lifestyle:
How old was your dog when you acquired it?
Has the dog had previous owners? Yes No    If Yes, Please Explain:
How does your dog spend a majority of its time?
How often your dog is exercised?
How long? More than... 10 min 45 min
1 hour 2 hours
Briefly describe your dog's exercise routine:
Does your dog have any exercise restrictions? Yes No    If Yes, Please Explain:
Has your dog been crate trained? Yes No
Do you still use the crate? Yes No
How many hours a day is your dog kept in the crate? Less than: 5 hours 10 hours 15 hours
 
Family Relationships:
List each family member include sex and age:
Has your household changed since acquiring your dog? Yes No    If Yes, Please Explain:
Does your dog enjoy children? Yes No    If Not, Please Explain:
List all other pets, including breed age and sex:
Please describe your dog's interaction with other animals in the household:
Describe how your dog reacts to guests and strangers:
Describe your dog's behavior around other dogs:
 
Training:
Has your dog had obedience training? Yes No
If Yes, Was It: Private Group
How many weeks of training?
What training school or professional trainer/behaviorist did you use?
Do you know what training methods did the trainer used?
Briefly describe your impressions and benefits from training:
What do you consider your dog's most undesirable behavior?
When did you first notice the problem?
How would you describe the severity of this problem? Mild Moderate Severe
How often does the problem occur? Frequent Occasionally Rarely
Has there been a recent change in frequency or severity? Yes No
Have there been any changes in the household that could help to explain the problem?
What have you done so far to correct your dog's behavior problem?
Why do you think the dog is exhibiting the behavior problem?
 
Behaviors:
Does your dog exhibit any of the following behavior problems?
Please check the relevant behaviors and check approximate frequency
House Soiling (urination, defecation, marking, submissive urination) Never Occasionally Often
Excessive Barking or Howling Never Occasionally Often
Coprophagia (stool eating, other animal's feces) Never Occasionally Often
Destructiveness (scratching, chewing, digging) Never Occasionally Often
Jumping Up (on guests or owners) Never Occasionally Often
Mouthing on Hands or Clothing Never Occasionally Often
Chases (cars, people, other dogs) Never Occasionally Often
Object and Food Stealing Never Occasionally Often
Does the dog attempt to run away when caught? Yes No
Dominance Testing (pushy behavior) Never Occasionally Often
Sexual Behaviors (thrusting against humans, inanimate objects, roaming) Never Occasionally Often
Overly Submissive Behavior Never Occasionally Often
Fearfulness (shy or phobic reactions) Never Occasionally Often
Excessive Excitability and Impulse-Control Deficits Never Occasionally Often
 
Additional Problems:
Does your dog threaten or exhibit aggression toward family members? Yes No
If yes, please describe all episodes of aggression (including threats):
How old was your dog when it exhibited the first signs of aggressiveness?
Is there anyone who the dog is never aggressive toward?
Is your dog more aggressive toward males or females? Males Females
Is your dog aggressive toward non-family members? Yes No
If yes, please describe all episodes:
Has your dog ever bitten a person? Yes No
How many people were bitten by your dog?
Has your dog ever killed any animals? Yes No
Does your dog show signs of fear prior to becoming aggressive? Yes No
Describe the severity of past bites:
Describe in detail the last bite incident (what, when, where, why?):
Describe your dog's reaction (growls, glares, bare teeth, snaps, barks, bites) under the following conditions:
When Eating:
When Playing:
When Chewing on a Toy:
When Approached While Sleeping:
When Punished:
When People Visit:
When Visitors Enter Yard:
When Visitors Arriving Indoors:
When Reached for or Touched:
When Being Petted or Hugged:
When Being Lifted:
When Being Moved off the Furniture:
When Trimming Nails:
When Cleaning Ears:
When Giving Medications:
When Grooming/Bathing:
When Rubbing Belly:
When Grasping Collar:
While Being Put Into a Crate:
 
Any additional comments or information that you think I should know?:
 
Terms & Conditions:

I hereby apply for enrollment for training at Oscar's Pet Resort. As a condition of enrollment, I understand and certify:

  • That Oscar's refund policy is 100% for withdrawal one week (7 days) prior to the start of private training lessons (less $10 handling fee). No refunds/credits will be granted after the start date;
  • That my dog is current on all required vaccinations;
  • That I am aware of the risks from handling animals, such as personal injury or property damage to myself, to my pet(s), or to members of my family;
  • That if my dog is excused from a class or a session for behavioral reasons or for illness, I understand that no refund will be granted;
  • That I assume responsibility for any actions of my dog(s) and agree to hold harmless and indemnify any person(s) associated with Oscar's Pet Resort.

By submitting this form, I agree that I have read and agree to the above

 
Class Trainer:
Please select the trainer you would like to enroll with.


For Events at Oscar's, please
call 717-397-0726.

Oscar's Pet Resort - 521 Willow Road, Lancaster, PA 17601
Phone: (717) 397-0726 - Fax: (717) 397-0731 - Email: info@oscarspetresort.com

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