Previous Training and Skills Handler Name(s) Address City Zip Primary Phone Handler’s Email Dog’s Name Breed Dog's birth date Sex male female Type of collar used for training Previous training (include training center name and level achieved) Names of classes completed Goals for dog or interests Please rate yourself and your dog's progress on the following skills: 1. I understand and use mark-and-reward training with a clicker or other sound: yes no 2. Please describe or list your marker sounds: 3. My dog sits on one verbal cue from a stand: yes no 4. My dog downs on one verbal cue from a stand and sit: yes no 5. My dog can walk politely with me for 6 feet and turn left or right with me: yes no 6. My dog can walk politely toward a minor distraction: yes no 7. My dog can remain in a sit or down position for 30 seconds until I return and release them: yes no 8. Please list your release word or words: 9. My dog comes away from a minor distraction when I call their name: yes no 10. My dog comes to touch my hand from 6 feet away: yes no 11. My dog leaves food alone in my palm or on the floor without being told: yes no 12. My dog runs to a mat from 6 feet away and lays down on cue: yes no Additional comments: You will be contacted by email within 7 days of submitting this form to our office.