Bliss Pet Resort Dog Training Intake FormCompleting this form will assist our trainers by providing valuable information to help us with training recommendations for your dog.Owner's Name(s)*Today's Date Date Format: MM slash DD slash YYYY Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Cell Phone Number*Emergency Contact Name*Emergency Contact Cell Phone*Which Training Program Are You Signing Up For?*Puppy Head-StartLevel 1 ObedienceLevel 2 ObedienceLevel 3 ObediencePuppy Day SchoolStandard Day SchoolEnrichment Day SchoolRefresher TrainingPrivate Training at BlissDog's Name*Dog's Predominant Breed*Dog's Gender*MaleFemaleDog's AgeWhere did you get your dog from*BreederLocal Shelter / RescueFamily / FriendFoundHas your dog had previous training?*YesNoWhat training has your dog received previously?*Where did this training occur?*Do you feel your dog suffers from separation anxiety and why do you feel this way?*Do you feel your dog demonstrates anxious and nervous traits and behaviors? Why do you feel this way?*Has your dog ever displayed aggression to humans or animals?*Yes to HumansYes to AnimalsYes to both Humans and AnimalsNoHas your dog ever bit another human?*YesNoIf Yes, did this bite require stitches?YesNoTell us some specific things with your dog that you are struggling with?*Is there anything unique or odd about your dog or his/her behavior that we should know about?*Does your dog have any food or seasonal allergies we should be aware of?*Is your dog currently on ANY medication? If so, please tell us what it is and to treat what issue.*If you have a dog that has long hair or hair that is easily matted (Doodles, Poodles, etc.),we recommend that you groom to a shorter haircut prior to training. Your dog will be with us playing, learning and having fun and sometime the long hair can mat.*Got it, no problemI'll get it cut prior to arrivalI'll take care of it after trainingIs your dog an escape artist? Can he EASILY jump or scale fences?*Yes - EasilyNoIF Boarding, select which BOARDING ADD-ONS you would like your dog to have while he/she is with us. These are optional upgrades to his/her training stay with us.* Brush Out ($10) One-on-one ($10) Bedtime Stories ($10) Frozen Peanut Butter Kong ($5) Pup Pastry ($4) All Natural Marrow Bone ($5) None How often would you like the above selected add-ons given to your dog while training with us?DailyEvery Other DayBi-WeeklyWeeklyWould like to add additional OFF-SITE Field Trips to your dog's training to test and proof his learning at other locations such as Home Depot, The Square, etc? These trips are $75 each.No, ThanksOne Additional TripTwo Additional TripsThree Additional TripsFour Additional TripsIf doing a Board n Train program, would you like to* Full Service Bath Nail Trim ($15) Blueberry Facial ($5) Teeth Brushing ($7) All Over Makeover - Full Haircut ($50+) Haircut at End of Stay - Spa Trim Haircut at End of Stay - Outline Trim Deshed Service ($10+) None How much playtime with other dogs of similar size and temperament (daycare) would you like your dog to have while boarding with us?All Day PlayHalf Day PlayShorter Session AM/PMNo Daycare Time, Just Potty BreaksHas your dog passed a Temperament Test to evaluate social play skills within the last six months?*YesNoCheck Each Box To Acknowledge Info* Select All Progress updates will occur on Mondays and Thursdays each week your dog is with us. This will be done via text. Visits are allowed but these need to be scheduled with your assigned trainer. Please do not ask for daily updates. When we average 10-12 dogs each day, this can be very time consuming and slows our training down. When appropriate, we will send pics of your dog working. Your trainer will initially reach out to you via text to introduce themselves. This is done on Mondays and Thursdays. Full Payment Will Be Due at Check-Out for Board and Training Packages Full payment will be due at booking for all Day School services. How did you hear about our training services?*From Friend / AcquaintanceVet ReferralFacebook AdGoogle SearchDrove by LocationCAPTCHA