History Form – Page 1
Owner/Handler Name _______________________________________________________________________
Puppy/Dog Name ______________________________
Breed ________________________________
From whom did you obtain your puppy/dog?
_____ Professional Breeder (litter raised at breeder’s home)
Breeders Name ______________________________________
_____ Amateur Breeder (not involved in formal dog organizations/activities)
_____ Pet Shop
_____ Humane Society/Pound/Shelter/Breed Rescue
_____ I bred the puppy
_____ Other ________________________________________________________________________
Did you buy your puppy/dog for:
_____ Companionship
_____ Obedience Competition
_____ Working
_____ Conformation Competition
_____ Hunting
_____ Watch Dog/Guard Dog
_____ Other: Please explain
____________________________________________________________________________________
____________________________________________________________________________________
How old was your puppy/dog when you brought him/her home? ___________________________________
What information was supplied by the person from whom you obtained your puppy/dog?
_____ Feeding Instructions
_____ Grooming Instructions
_____ Pedigree
_____ Medical History/Health Information
_____ Registration Application (AKC, UKC, ASCA, etc.)
_____ Information and/or Spay/Neuter Contract
Did you see your puppy’s/dog’s parents? ______________________________________________________
Did you select your puppy/dog from a group of litter mates? ______________________________________
If so, why did you choose this puppy/dog instead of others? ___________________________________
___________________________________________________________________________________
Who told you about Sunshine School for Dogs LLC? _____________________________________________
Is your puppy/dog housetrained? _____________________________________________________________
Do you have a crate in which to confine your puppy/dog when he/she is not attended? ________________
Are you having problems with:
_____ House Training
_____ Digging
_____ Other
_____ Jumping on People
_____ Biting
______________________________
_____ Shyness
_____ Nervousness
______________________________
_____ Eating
_____ Chewing
______________________________
_____ Excessive Barking
_____ Aggressiveness
______________________________