Board and Train Intake Form Please fill out all required fields for form to properly submit. To check if form has submitted, click "Fill out intake form" button again. "*" indicates required fields Name* Preferred Pronouns Please list the other humans in the home and ages of children in the home.*Please list the other types of animals and their ages in the home.*Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Please list an emergency contact that will be available in the event that there is an emergency while you are out of town. Dog's Name* Dog's Age* Dog's Breed* Dog's Sex*MaleFemaleDog's Weight* Dog's Color* How did you hear about us?* Is your dog neutered/spayed?*YesNoWhat vet do you currently use?* Is your dog up to date on vaccinations?*YesNoUpload a copy of vaccination records now? (Or email by first day of training)*YesNo, email laterPlease upload a copy of your vaccination records*Max. file size: 256 MB.Is there a specific package you're interested in?*Bronze Package (5 Nights)Silver Package (10 Nights)Gold Package (15 Nights)Not sure. Would like to discuss with a trainerDo you have particular dates in mind? Please enter below. What brand of food does your dog currently eat?* Describe your dog's feeding ritual.*What type of treats do you currently use when training your dog?* Do you crate your dog? If so, when?* What type of equipment have you used with your dog for leash walking? (Flexi/retractable leash, front/back clipping harness, head halter, choke chain, prong collar, etc)* What cues does your pet already know?*Have you ever used a shock collar?* Are you considering using a shock collar? (This includes an invisible fence.)* How do you currently discipline your dog?*How do you currently reward your dog?*Have you ever used a clicker to train a dog?* Was your dog rescued or purchased from a breeder? Please describe the details of either situation. Age rescued? How long have you had the dog?*How does your dog react to other dogs on leash?*Has your dog ever growled at another dog? If so, what were the circumstances?*Has your dog ever growled at a person? If so, what were the circumstances?*Has your dog ever bitten another animal? If so, please explain.*Has your dog ever bitten a person? If so, please explain.*List things your dog is afraid of:*List things that your dog is aggressive towards:*Have you and your dog ever participated in dog training with another company? If so were they private lessons or group classes? Where were they and what was the topic covered?*What are your immediate goals for training?*What are your long term goals for training?*Is your dog on any medications?*How long is your dog left alone during the day?*What time do you usually let your dog out in the morning and evening?*Does your dog usually go on walks or in the backyard to potty?*How does your dog typically ride in the car? (In a crate, with a seatbelt and harness, in a car seat, etc.) I understand that I will need to purchase a transfer session at the completion of board and train in order to fully understand the training my dog has received. Please initial.*Please initial at the bottom of each of the following to indicate that you've read and agree to the following terms: I understand that board and train does not cover behavioral challenges such as extreme fearfulness or aggression and understand that I should seek help via private lesson instead of board and train. Please initial.* I understand that children under the age of 12 must be accompanied by a non-participating adult. Please initial.* I understand that dogs must be up to date for their age on vaccinations in order to attend and will require proof of vaccinations. Please initial.* I understand that my dog must have a negative fecal within the past month. Please initial.* I understand that I must provide all treats, food, and chews for my dog during its stay. Please initial.* I understand that I must be on time for scheduled drop off and pick up times. Please initial.* I accept all liability if any humans or dogs are harmed during training sessions. Please initial.* I understand that a 50% deposit is due to reserve my dog’s stay. Please initial* I understand that my deposit is non-refundable if I fail to give two weeks notice before canceling my reservation. Please initial.* I give permission for my dog to ride in the car to various locations for training. I understand that Howling Moon Pet Care is not responsible for any accidents that may occur during transportation. Please initial.* I give permission for my dog to be photographed or videoed and shared on the website or social media. I understand that my dog should wear an ID tag at all times. Please initial.*