Puppy Intake Form

Hi there!

We are so excited that you have chosen us, to join you, on your puppy raising journey.

This form is used for our Puppy Play & Learn Group Socialization Program (PPL) as well as our Puppy Preschool Group Classes.

Anything that doesn't apply to you, please mark n/a.

Thank you, Cathie's Canine Connection & Co. Inc.

Your First Name & pronouns (optional)

Last Name

Phone

Please provide your full address.

If Applicable: For Condo's and the like, is there visitor parking? If yes, please explain how / where to access.

If Applicable: What is the building buzzer number?

On what date did you bring your puppy home.

Names of other adults in the household. Relationship and / or pronouns, (optional)

Names and ages of minor children in the home & pronouns (optional)

Dog's Name

Dog's Breed

Dog's Date of Birth (or approx)?

Where did you get your dog? PLEASE PROVIDE FULL NAME of BREEDER, RESCUE, or ADOPTION Organization.

Are you fostering this puppy, if so with what organization?

Female / Male

What is your puppy's current weight, approximately.

Please provide us with a picture of your puppy

Vet Clinic Name, Vet name (Dr.) and phone number

Please place a check mark next to vaccinations received. * Note * Allow one full week from date of vaccine before attending group programs

Distemper, Hepatitis, Parainfluenza, Parvovirus (DHPP) - core vaccines, MINIMUM 1st SHOTS REQUIRED to attendBordetella (CIRDC) Kennel cough) - a non-core vaccine,Leptospirosis - a non-core vaccine generally given to a puppy aged 6 months or olderRabies - a non-core vaccineLyme Disease - a non-core vaccine

Please Attach a copy of your puppy's current vaccination records. *Ensure name to identify is visible* If you don't have it right now, please forward a copy by email asap. We require this prior to attending any programs.

Attach any additional docs

Do you have any other pets? What, if any?

To reduce transmission of fleas, lice etc., especially to the facility, please check your puppy thoroughly, or have administered preventative treatment before visiting.

I understand

Has your puppy attended play groups or training classes before?

ClassesPlay GroupsPrivate TrainingNone

Where? What is the name of Training Company?

What is the name of Trainer and their credentials?

Early learning is a critical part of developing into a well mannered adolescent, and then dog! Do you want to join our next Puppy Pre- school class?

Yes! Definitely! Sign My Puppy Up!I'd prefer a private session with you.Thanks, maybe another time.

Do you have any specific behaviour concerns with your puppy?

We can help! Would you like to book a private session to work on this?

For our PPL Program. Which days and times are you available to attend. (flexibility allows us to move your puppy around for varied social experiences)

Wednesday at 5:30 pmWednesay at 6:30 pmSunday at 3:30 pmSunday at 4:30 pmOUR FAVOURITE Option. We are completely flexible and can bring our puppy to either day and either time.Not participating at this time, thank

Upon submission of this form, your puppy will be automatically added to our very next session, on / at your preferred day / time.

For Puppy Play & Learn, Please provide the Name of Person(s) who will be attending with your puppy?

We feed treats to the puppies. Does your puppy have food allergies?

Yes, I'll bring my own treats.No. Your treats are ok to use.

At Cathie's Canine Connection & Co. Inc., (aka CCC). We are Fear Free, Science and Reward Based Trainers. We do not use dominance, force, flooding, or corrections. We are not Alpha, nor Pack Leaders, we are in partnership with our dogs..

Please Read and Accept CCC's Policies Read Policies

(To select multiple, hold Ctrl or Command)

Please Read and Accept CCC's Liability Release and Waiver Form. Read Waiver

How did you hear about Cathie's Canine Connection & Co. Inc.? If referred, please let us know the person's name so that we may thank them.

Do you, or your Dog, have an INSTAGRAM account, so we can tag in our posts? What is it?

Thanks for completing our Puppy Intake form!

PLEASE check your email for a WELCOME EMAIL, with ALL THE IMPORTANT DETAILS that YOU NEED TO KNOW in order to prepare!

Cathie's Canine Connection & Co. Inc.