New Client Registration

Training Consultation Form

Thank you for your interest in learning more about PK9S training. Training is the foundation of the open line of communication between you and your puppy or dog. Using science based positive reinforcements techniques I can show you the tools to form a new shared language and strengthen the human canine bond.

To help me to better understand your puppy or dog history and long-term behavior goals please fill out the below form.

Owner's Information

Owner's Name(Required)

First Last

I am interested in:(Required)

All Day School

Private Training

Board & Train

Email(Required)

Phone(Required)

How Did You Hear About Us?(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Dog's Information

Dog Name(s)(Required)

Dog's Weight (Best Guess)(Required)

Dog's Breed (List all, if not sure take a guess)(Required)

Dog's Sex (M or F)(Required)

Male

Female

Spayed/Neutered?(Required)

Yes

Dog's Date of Birth(Required)

What is your puppy's or dog’s natural energy level?(Required)

How much exercise does your puppy or dog get daily and what type? (i.e. walk, run, chase ball etc.)(Required)

On an average day, approximately how many hours does your puppy or dog spend...

Inside Alone(Required)

Outside Alone(Required)

Inside With People(Required)

Outside With People(Required)

Where does your puppy sleep at night?(Required)

Is your puppy/dog crate trained?(Required)

Where does your puppy/dog stay during the day when alone?(Required)

Do you have an enclosed yard?(Required)

Training History

Did you take your puppy to a puppy class (under 6 months)? Where and when?(Required)

Have you trained a puppy/dog in the past?(Required)

Have you attended group or private training with your puppy/dog? Where, and for how long?(Required)

What style of training have you used in the past (i.e. positive? balanced? “pack theory”?)(Required)

What training tools have you tried with your puppy (i.e. clicker, martingale, no pull harness, head halter)?(Required)

Does your puppy or dog exhibit any of the following behavior problems? Please check the relevant behaviors and approximate frequency:

Excessive barking or howling(Required)

Never

Occasionally

Often

Object and food stealing(Required)

Never

Occasionally

Often

Overly submissive behavior(Required)

Never

Occasionally

Often

Sleep problems(Required)

Never

Occasionally

Often

Pulling on leash(Required)

Never

Occasionally

Often

House soiling (urination, defecation, marking, submissive urination)(Required)

Never

Occasionally

Often

Mouth on hands or clothing(Required)

Never

Occasionally

Often

Chasing (cars, people, other puppys/dogs)(Required)

Never

Occasionally

Often

Jumping up (guest or owner)(Required)

Never

Occasionally

Often

Fearfulness (shy or phobic reaction)(Required)

Never

Occasionally

Often

Running away(Required)

Never

Occasionally

Often

What are your short-term goals for your puppy?(Required)

What are your long-term goals for your puppy?(Required)

Does your puppy/dog play well with...(Please check)(Required)

Small Puppies

Large Puppies

Children

What common behavior challenge(s) do you and your puppy want to work on?(Required)

Does your puppy or dog ever seem irritated by or resent petting or touching? If so, where on his/her body?(Required)

Does your puppy or dog bark excessively? If so, when and where?(Required)

Does your puppy or dog hide or run away if people talk loudly or act boisterously? If so, please describe context.(Required)

Does your puppy or dog ever urinate or roll over on his/her back when greeting? If so, please describe context.(Required)

Please check off all the behaviors/cues your puppy or dog knows(Required)

His/Her Name

Come

Sit

Down

Stand

Stay

Wait

Leave It

Crate

Touch/Hand

Target

Fetch

Go To Spot/Bed

Watch Me/Eye Contact

Off

Over

Under

Find It

Heel

Catch It

Spin

Other tricks?

act [ ] Off [ ] Over [ ] Under [ ] Find It [ ] Heel [ ] Catch It [ ] Spin Other tricks?

What other tricks can your dog do?

Nutrition

Brand/type of food your puppy/dog is currently eating?(Required)

Frequency of feeding and the amount fed?(Required)

Is your puppy/dog on probiotics/supplements (Goat milk, pumpkin)?(Required)

What treats are given for good behavior or training?(Required)

Any known food allergies or sensitivities(Required)

The Process

Thank you for your time with our questionnaire. After filling out the questionnaire, it will be put into your file and we can schedule our in-home consultation. The initial in-home consultation will take approximately 90 mins. After our first visit, I will put together a training plan customized to meet your puppy’s or dog’s behavior goals, then once reviewed we will begin scheduling training sessions.

Liability Waiver and Training Policies

Pawsitive K9 Solutions will endeavor to create a safe, healthy environment for the training of my puppy(s) and will offer only safe, ethical, responsible and scientifically-sound training suggestions and lifestyle recommendations. Lori Powell trains with science-based positive reinforcement techniques.

I expressly and voluntarily assume all risk of injury while training my puppy(s). I recognize that weight Lori Powell, nor Pawsitive K9 Solutions is responsible for the unintentional errors, omissions or incorrect assertions. I understand that the recommendation of any other product or service is not a guarantee of my satisfaction. Further, I am and will remain responsible for the actions of my puppy or dog at all times, and I hereby agree to indemnify and hold harmless Lori Powell and Pawsitive K9 Solutions, of any and all claims of injury, expenses or damages caused by the actions of my puppy while under Pawsitive K9 Solutions instruction, the care of Lori Powell or under my own care as a result of following the training plan.

I understand the inherent risks of owning a puppy or dog, including but not limited to, the risk of puppy or dog bites to other animals, other people or myself.

I understand the behavior of a moment-to-moment decision-making animal can never be guaranteed. Therefore, the success of my puppy(s) dog (s) is highly correlated to the amount of time I spend practicing the desired behaviors with my puppy(s) or dog(s) and the degree of consistency family members and I employ. I realize that my success is contingent on my family’s dedication to working with our puppy or dog on a daily basis. There are no guarantees with behavior modification, and I will not hold Lori Powell or Pawsitive K9 Solutions Training Team responsible if my puppy or dog does not meet our training goals.

By checking the "I agree" box below, I have read and agree to the liability waiver terms and policies. Check below(Required)

I agree

Media Release

By checking the "I agree" box below, I hereby give my full consent to all photographs, audio recordings, video recordings and/ or academic work taken of me, my puppy(s), friends and family members (including minor children) by Lori Powell and Pawsitive K9 Solutions, or their designee. I understand that any such photographs, audio or video recordings, and academic work become the property of Lori Powell and Pawsitive K9 Solutions, and may be used without consent, for instructional, educational, or promotional purposes as determined by Lori Powell and Pawsitive K9 Solutions in broadcast and electronic media formats, now existing or in the future created.

Check below(Required)

I agree

Payment Policy

By checking the "I agree" box below, I understand and agree to the following cancellation policy terms:

1. Once a training program has started, there are NO refunds.

2. The client may reschedule or cancel ONE prescheduled private session without penalty. Any subsequent reschedules or cancellations will count as and be charged as a prepaid session in the training plan. It is imperative that sessions be scheduled on a consistent basis and in a timely manner.

3. A minimum of 48 hours notice is required to cancel a scheduled session without penalty.

Check below(Required)

I agree

Cancellation Policy

By checking the "I agree" box below, I understand and agree to the following payment policy: Payment (cash, check, Credit Card, PayPal or VenMo) is due in full upon completion of the initial consult. Long-term training clients have the option to pay in full after each visit, or to be billed as needed (preferred monthly).

Check below(Required)

I agree

Contract Review

By checking the "I agree" box below, this contract is validated, and approval for future services without additional written authorization. I have read and agree to the terms of this puppy/dog training contract and Policies. I also understand that the desired outcomes for puppy’s or dog’s training and behavior is directly proportional to the time, commitment and positive reinforcement technique spent working with my puppy or dog in between training sessions.

Check below(Required)

I agree

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MAIL

pawsitive.lori@gmail.com

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CALL

310.596.1618

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Los Angeles, CA

Dog Training in Santa Monica, Brentwood, Venice, Mar Vista, Culver City, Marina del Rey, Playa del Rey, Playa Vista, Ladera Heights, Westchester, Long Beach, Lakewood, and other areas in Los Angeles.