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We Come to YOU!
Raleigh/Durham/Chapel Hill, NC
Continuing Education Application
Training Camp Application
Group Class Application
Private Training Application
Heather and Jay Brittingham
Ask The Trainer
Puppy Camp, Training Camp, and Training Camp PLUS Application
Indicates required field
Emergency Contact Name
Emergency Contact Phone Number
Home Phone Number
Cell Phone Number
Veterinarian Business Name
Is your dog spayed/neutered?
Flea/tick prevention treatment expiration date:
*If fleas are found while dog is with us, we will treat the dog at the owner's expense unless directed otherwise.
How often does your dog eat?
Once in morning
Once in evening
Twice a day
Three times a day
How much food does your dog eat at each meal?
Additional Notes on Food Routine (eats in crate, sits for food, any food allergies? etc.)
What type of Chewies/Treats Do You Give Your Dog?
How does your dog respond to kids?
Can be too rough
Scared / Frightened
Needs to learn manners
Do children live with the dog?
If Yes, how many?
How often do you have visitors?
Work Full Time Outside of Home
Work Part Time Outside of Home
Work at Home
Where did you get your dog?
Veterinarian Dr. Name
Rabies Vaccination Expiration Date:
Heartworm prevention medication expiration date:
Is your dog crate trained?
Where Is the Dog Kept When Alone/Unsupervised?
Free Roam Inside
Free Roam in Fenced Yard
None of the Above (please explain in comments)
Level of Housetraining
Reliable 8+ hours
Reliable 4 - 6 hours
Reliable 2 - 4 hours
Do you have a fenced in yard?
Your dog's energy level
How often are you active with your dog?
Once in awhile
What type of activities do you and your dog enjoy?
Dog park visits
How does your dog do with cats, other small animals?
Likes to play chase
Attempt to kill
Never seen one
How does your dog respond to other dogs?
Reactive / Aggressive
Never around other dogs
Veterinarian Phone Number
Distemper/Parvo Vaccination Expiration Date:
Bordatella Vaccination Expiration:
Is your dog on any medications currently? Please list them.
Please upload a picture of your dog
Max file size: 20MB
Does your dog have any problem behaviors?
Coprophagia (poop eater)
One Tshirt is included with your training package. What size Tshirt would you like?
How did you hear about Dog Training Camp?
Terms and Agreement
I authorize Dog Training Camp USA to take my pet to the above named veterinarian for veterinary care if, in their opinion, care is needed and I will be responsible for payment for treatment. If it is an immediate emergency and my regular clinic is not open or it is a matter of life or death of the pet, I give Dog Training Camp USA the authority to take my pet to the nearest emergency clinic and I assume all financial responsibility for any bills incurred up to the amount authorized below. I also understand that Dog Training Camp USA will be released from all liability related to the treatment, expense or loss of my pet.
I understand that training is not without risk to my dog. I hereby waive and release Dog Training Camp, its officers, employees, owners, members, contractors, and agents from any injury or damage resulting from the action of the dog, and I expressly assume the risk of any such damage or injury while attending any training session, or while on the training grounds or the surrounding area thereto. In consideration of and as inducement to the acceptance of my application for training I hereby agree to indemnify and hold harmless Dog Training Camp of Raleigh, Inc, its officers, employees, members, contractors, agents from any and all claims, or claims by any member of my family or any other person accompanying me to any training session or while on the grounds or surrounding area thereto as a result of any action of any dog, including my own.
I authorize Dog Training Camp USA to approve treatment up to: $
May we have your permission to use class/consult photos and/or videos in our marketing program?
Which Camp is right for your dog?
Puppy Camp - 2 weeks
Training Camp - 3 weeks
Training Camp PLUS - 4 weeks
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Training Camp Plus
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