Private Training Initial Contact Form

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Initial contact form for individuals inquiring about E-Learning or In-Home Training

First Name - Primary Dog Owner *

Last Name - Primary Dog Owner *

Primary Dog Owner Home Address (not P.O. Box) *

Email Address *

City *

State *

Home Phone # (include area code) *

Mobile Phone # (include area code) *

Name of Dog *

Gender of Dog *

Female intact

Female spayed

Male intact

Male neutered

Age of Dog *

Breed(s) of Dog *

How long has dog been in your home? *

Where was dog acquired? *

Professional Breeder

Humane Society / SPCA

Rescue Organization

Private Party

Other:

What behavior do you want to correct? *

Puppy Socialization (Puppies 7wks to 20 weeks of age)

Basic Manners - Jumping up, pulling on leash, come when called, stay, leave it, sit/down, etc.

Barking, growling, lunging at or biting strange people or other dogs

Fearful or Anxious behavior (hiding, panting, pacing, avoidance, shaking, barking, etc.)

Veterinary visit or grooming handling problems (doesn't like to be touched/handled)

Therapy Dog Prep Training

Other:

Required

What previous training has your dog had? *

Formal puppy socialization training (in group class or with a certified trainer)

Group class manners training

Private manners training with a certified trainer

None

Other:

Required

Have you experienced complaints from neighbors, landlords, police or animal control about your dog's behavior? *

Yes

What type of training delivery are you most interested in? *

e-Learning (convenient trainer coaching via phone, internet, camera and/or video)

In-Home Training (when local, trainer comes to your house or other location to train your dog)

Either option (trainer can direct me based on my learning goals to best method)

How did you hear about us? *

Veterinarian

Google / Internet Search

Pet Store or Local Pet Related Business

Pet Related Local Event

Other:

Brief Questions?

Next Steps - Once we receive your completed form, we will contact you by phone or email to set up a brief appointment to chat about your behavior goals and problems. Preferred contact method?

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