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Puppy Head Start Contact Form
Puppy Head Start Contact Form
Chris Paccione
2022-05-02T21:11:56-07:00
Puppy Head Start
The information you provide will help us to best support your puppies learning with us during the 4-week program. We understand some of the questions below may not be applicable due to SIP/COVID as some exposure to humans and other dogs might not have been possible, please answer the best you can. We are excited to meet you all and get this rolling!
Puppy Name
*
Puppy Sex
*
Male
Female
Weight in lbs.
*
Breed (if mixed, tell us what you know or think)
*
Puppy Birth Date (if not exact, please provide approximate)
*
MM slash DD slash YYYY
When did you adopt your puppy? If you haven't yet, when do you plan on adopting your puppy?
MM slash DD slash YYYY
Are you a first time puppy parent?
Yes
No
Desired Puppy Package
*
4 days per week
5 days per week
Preferred Days of the Week (if doing 4x).
Monday
Tuesday
Wednesday
Thursday
Friday
Please describe your goals for this program:
*
What commands (if any) does your puppy know and/or respond to? If you want us to use specific cues, please list here
Please check puppy's 5 most favorite things:
dog food (what is fed at meal time)
treats (for training or "just because")
chewies (such as bully sticks or pig ears) unpacking stuffed kongs
wrestling with other puppies
playing chase or being chased by other puppies playing tug with other puppies
adult dog interactions
pets and cuddles with familiar people
body contact with strangers
playing tug with people
playing fetch (chase toy and bring it back) chasing a toy (without bringing it back)
being in a crate
riding in a car
Please check things puppy dislikes:
dog food (what is fed at meal time)
treats (for training or "just because")
chewies (such as bully sticks or pig ears) unpacking stuffed kongs
wrestling with other puppies
playing chase or being chased by other puppies playing tug with other puppies
adult dog interactions
pets and cuddles with familiar people
body contact with strangers
playing tug with people
playing fetch (chase toy and bring it back) chasing a toy (without bringing it back)
being in a crate
riding in a car
Please describe your puppy's behavior around other dogs.
Do you have another dog at home? If so, what kind of dog(s)?
*
Do you have kids in the home? If so, what ages are they?
*
Please describe your puppy's behavior around new people.
Has your puppy met other dogs? What were their ages and sizes? If you have not adopted your puppy yet, please let us know what the breeder's assessment is of the puppy.
Has your puppy ever growled or bitten at anyone? If so, what was the situation?
*
Is your puppy crate trained? How has your puppy reacted to being alone?
*
Is your puppy enrolled in virtual puppy classes? If so, where?
*
Where did you get your puppy? Please provide breeder name and/or rescue organization.
How did you hear about us?
*
Select
Google
Yelp
Instagram
Referral
Other
Do you have any special instructions for us?
Do you have any questions for us?
Your Contact Information
Name
*
First
Last
Relation to puppy:
*
Primary Guardian
Guardian
Phone
*
Email
*
Address
*
Street Address
Address Line 2
City
CA
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Guardian's Name: (If you do not have a 2nd guardian, please list an emergency contact.)
*
Relation to puppy (Please note if this person is a primary guardian or an emergency contact.)
*
Owner
Guardian
Emergency Contact
Guardian's Phone Number
*
Guardian's Email
*
What is your and/or your dog's Instagram handle(s)? Follow our IG at topdogsf to be in on the adventures of your pup!
We require the first round of 3 core vaccinations (DHPP, Canine Influenza & Bordetella) to be completed at least 5 days before your pup's first day. Below, please mark the vaccinations you have already completed. If you do not already have plans to complete each of the vaccinations listed below, please speak with your vet about these vaccinations to be sure your puppy has everything they need to start with us.
Preferred Veterinary Clinic
*
Please check off all vaccinations your puppy has received:
*
Select All
DHPP/DAPP/DHLPP (first round)
DHPP/DAPP/DHLPP (second round)
DHPP/DAPP/DHLPP (third round)
Canine Influenza (first round)
Canine Influenza (second round)
Bordetella
Rabies
Leptospirosis (L in DHLPP) first round
Leptospirosis (L in DHLPP) final round
What date will your puppy be fully vaccinated and ready to be out & about in the world?
*
MM slash DD slash YYYY
Fecal Test Required. A negative test is needed prior to start of School. Have you done this yet? If not, take a sample to vet for analysis.
*
Yes
No
Comments
This field is for validation purposes and should be left unchanged.
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