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TAYLERMADE REGISTRATION
Training Questionnaire
Pricing List
Service Agreement
Operating Policies
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Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Phone Number
*
Email
*
Email
Confirm Email
City, State
*
Do you understand that a consultation is required?
*
Yes, I understand
Please be prepared to send a $55 consultation fee to TaylerMadeTraining on Venmo if a free phone consultation is not enough. If hired, it will be applied to your total.
What Training Option are you looking for?
Private in-home lesson
Group classes
Studio lesson (lompoc location only)
Online lesson
Board and Train
Daycare and Train
More than one
Pricing for options can be viewed through the menu under the tab labeled forms
My Ideal time for lessons are....
*
Morning 9-12
Afternoon 12-2
Late Afternoon 2-4
Evening 4-6
Monday
Tuesday
Wednesday
Thursday
Friday
Varies
TaylerMade Training LLC is available Monday-Friday 9am -6pm. Additional Day and Times may be scheduled in advance and may require an additional fee.
If you chose "Varies" Please explain below.
This is a request, not a confirmed booking. TaylerMade Trainer will contact you to schedule. Unless prior arrangements are made, lessons will be the same date and time each week.
Dog's Name
*
Dog's Age
*
Dog's Breed (approximate weight for mix breeds)
*
Gender
Male
Female
Altered?
*
Spayed
Neutered
Soon
Never
Where was the dog acquired?
Breeder
Rescue/ Shelter
Family/ Friend/ Acquaintance
Other
How long have you owned the dog?
Health Concerns?
Proof of Vaccines
Click or drag a file to this area to upload.
All TaylerMade Clients must be up to date on vaccines for the safety of your dog and others. Please bring a copy of your records to your first lesson if you can not attach above. You will not be admitted without proof of vaccines.
Do you have more than one dog that needs training?
Yes
No
I know someone that I would recommend
Names of people that have regular contact with dog, provide age and relation.
Do you have other pets?
Where does your dog stay when home alone?
Free Range (inside)
Limited Access to House
Crate
Outside
He is never home alone
Where Does your dog stay during the day?
Free Range (inside)
Limited access to house
on leash
outside
Where Does your dog stay during the night?
Free range (inside)
Limited access to house
on human bed
on dog bed
crate
outside
Is your dog crate trained?
Yes, loves the crate
attempted crate training
no longer uses crate
No, prefer not to use crate
would like to crate train
Any previous training?
Does your dog go on daily walks? Other Daily exercise?
Do you use a collar or harness on walks?
Front Clip harness
Regular harness
Head halter
Regular collar
martingale collar
slip or choke collar
pinch or prong collar
other
Allowed on furniture?
no
couches
beds
only with invitation
What type of food does your dog eat?
Does your dog have any food allergies?
Feeding Schedule
Free Fed
Schedule (eats everything)
Schedule (grazes)
Is your dog social with unfamiliar people?
Seems to love just about every person
good with unfamiliar woman
good with unfamiliar kids
good with unfamiliar men
selective
tolerant (okay in their presence, just doesn't like to be pet by strangers)
exhibits fearful, reactive, or aggressive behaviors towards unfamiliar people
Not Sure
Has your dog ever bitten someone or something? (not including play mouthing or biting)
No
Not to my knowledge
I'm not sure if it was play or aggressive
my dog has growled but never bitten
yes, but left no mark
yes, bruised the skin
yes, left a shallow puncture
yes, left a deep puncture
yes, tore the skin
yes, left multiple wounds
yes, my dog has bitten multiple times
Dogs who have a bite/aggression/reactive history can not interact in group lessons.
Who or What was bitten
When guests enter my home, my dog:
walks up to greet guests
ignores guest
jumps
barks a few times
barks non-stop
whines
wiggles
pees involuntarily
hides
charges guests
growls
threatens to bite
has bitten
is in a crate
is behind a gate
is in another room
is outside
i'm not sure don't have many guests
Is your dog social with unfamiliar dogs?
Seems to love most dogs
good with big dogs
good with small dogs
good when off-leash only
selective
tolerant (okay in presence just doesn't want to be sniffed)
exhibits fearful, reactive, or aggressive behavior.
Not sure
Food drive
High
Medium
Low
Depends
Not sure
Toy drive (retrieving or playing tug)
high
medium
low
depends
my dog only plays with other dogs
not sure
Check issues that you would like to discuss with Trainer
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House Training
Destructive tendencies
jumping on people
behavior with guests
excessive energy
excessive barking
fearful behavior
anxious behavior
separation anxiety
aggressive behavior with dogs
aggressive behavior with people
resource guarding (food, toys, people, space) with dogs
resource guarding (food, toys, people, space) with people
runs away
stealing food
demands attention
submissive/excitement urination
pulling on leash
barks on leash at dogs
barks on leash at people
barks on leash at moving objects
barks on leash at wildlife
other
Specify other
How do you reinforce desirable behavior?
How do you address undesirable behavior?
Referred by?
It's ideal to begin training shortly after consultation, meeting once each week. If you plan to move forward with training are you able to start with-in 1-2 weeks of consult?
*
Anything else you would like us to know?
Service Agreement
I, the undersigned, have enrolled myself and my dog in dog training classes, private consultations, workshops or other related activities (Classes) offered by TaylerMade Training, LLC. By signing hereunder, I certify that I have been informed and understand that there is always some unavoidable risk of injury involved when working with animals, especially animals with behavioral issues. I acknowledge that dogs can be inherently difficult to control and that not all dogs will be under control at all times resulting in the possibility of injury to myself, my dog, my family members, or third parties. Additionally, I have had full opportunity to discuss all concerns I have about the foregoing risks with TaylerMade Training, LLC and its authorized representatives. I have also made all inquiries and investigations to my satisfaction related to such risks, including, but not limited to, an examination of the training area (if applicable). I hereby accept and assume, without reservation, all risks associated with my participation in the Classes, including, but not limited to: the risks of any and all injuries to myself, my dog and any of my family members or third parties who may attend; the risks that my dog may cause injury to other persons and/or dogs involved in the Classes; and the risks that saliva, water, food, snow and/or other debris may be present in the training area. I have read and understand TaylerMade Training, LLC’s Training Facility Operating Policies (next page), and agree to abide by them to the extent applicable. As lawful consideration for participating in the classes, I, for myself, my heirs, executors, administrators, legal representatives, successors and assigns (the “Releasing Party”), hereby waive, release, discharge and agree not to sue and to indemnify, defend and hold harmless TaylerMade Training, LLC, and their members, managers, agents, and employees (the “Released Party”) from any and all injuries, losses, claims and damages to any person or persons of any nature whatsoever, including claims arising from the Released Party’s own negligence, and all costs associated therewith, including attorney’s fees, court costs and consultant fees, arising from my participation in the Classes. This Waiver of Liability & Informed Consent Release shall be legally binding on the Releasing Party. Should the Releasing Party assert a claim to the contrary to what I have agreed to in this Waiver of Liability and Informed Consent Release, the claiming party shall be liable for all expenses (including attorney’s fees, court costs and consultant fees) incurred by both the Releasing Party and the Released Party. No waiver or modification of any provision herein shall be valid unless expressly agreed to in writing by both the Released Party and the Releasing Party. I hereby consent to my dog being the subject of the photographs and/or audiovisual recording and authorize TaylerMade Training, LLC and Tayler Hannes to cause the same to be exhibited for educational purposes as still photographs, transparencies, motion pictures, television, video or other similar media. I hereby release TaylerMade Training, LLC and Tayler Hannes from any and all claims for damages for libel, slander, invasion of privacy or any other claim based on use of the above-described material(s). Every provision herein is intended to be severable. If any one or more of the provisions herein is found to be unenforceable or invalid, that shall not affect the other terms and provisions hereof, which shall remain binding and enforceable. I represent that I am at least 18 years of age.
*
Type Full Name and Date to show you understand.
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