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CONTACT
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* Indicates required question
NAME
*
Your answer
PET'S NAME
*
Your answer
Services interested in
*
1 on 1 lessons
Pawfect Puppy
Leash Legends
Off Leash Essentials
Ultimate Family Dog
Behavior Modification
Required
PHONE NUMBER
*
Your answer
EMAIL
*
Your answer
HOME ADDRESS
Street, city, st, zip
*
Your answer
EMERGENCY CONTACT
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Your answer
EMERGENCY PHONE
*
Your answer
BREED/DESCRIPTION
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Your answer
WEIGHT
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Your answer
WHERE DID YOU GET YOUR DOG? LIST RESCUE OR BREEDER IF POSSIBLE
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Your answer
IS YOUR DOG COMFORTABLE IN A CRATE?
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YES
NO
SPAYED/NEUTERED?
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YES
NO
DOES YOUR DOG HAVE ANY MEDICAL CONDITIONS WE SHOULD KNOW ABOUT?
*
Your answer
IS YOUR DOG CURRENTLY ON ANY MEDICATIONS? IF YES, PLEASE SPECIFY:
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Your answer
DOES YOUR DOG ATTEND A DOGGY DAYCARE? IF SO, WHICH ONE AND HOW OFTEN?
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Your answer
LEASH LUNGING?
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YES
NO
JUMPING ON PEOPLE?
*
YES
NO
AGGRESSIVE WITH OTHER DOGS?
YES
NO
Clear selection
AGGRESSION WITH PEOPLE
YES
NO
Clear selection
GUARDS FOOD, TOYS, ETC.
YES
NO
Clear selection
SEPARATION ANXIETY
YES
NO
Clear selection
EXCESSIVE BARKING
YES
NO
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IF YES TO ANY OF THE ABOVE, PLEASE EXPLAIN IN AS MUCH DETAIL AS POSSIBLE
Your answer
HAS YOUR DOG EVER BITTEN ANOTHER DOG, ANIMAL, PERSON, OR CHILD? IF SO, PLEASE SPECIFY IN AS MUCH DETAIL AS POSSIBLE.
Your answer
BRIEFLY DESCRIBE ANY PAST TRAINERS OR TRAINING CLASSES THAT YOU'VE DONE.
Your answer
LIST ANY OTHER SPECIFIC ISSUES/TRAINING GOALS TO ADDRESS.
Your answer
WHAT BRAND OF FOOD IS YOUR DOG CURRENTLY ON AND HOW MUCH?
Your answer
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