Emma Kesler CPDT-KA Client Form
** Currently on waitlist: Please submit this form to be considered when a space opens. **
Email address *
Your Full Name *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Home Address *
If you'd rather not say, please provide state your area and time zone
Your answer
Family Members *
It is helpful if you describe each member's relation (husband/wife, teenage child, young child)
Your answer
Do you use an iPad or iPhone? *
(It is ok if you do not)
Dog's Name *
Your answer
Dog's Date of Birth *
Your answer
How old was your dog when you got him/her? If you haven't gotten him or her yet, just give any relevant info. *
Your answer
Please check all that apply (skip if you don't have the puppy or dog yet):
What type of food does your dog eat (Or what are you planning on feeding your new dog?) *
Are you open to changing your dog's treats/diet if it will help the training? *
Do you have a yard? If so, what kind of containment system do or will you use? *
Do you have preferred day(s) of the week, and/or time(s) of day for training sessions? *
Your answer
How motivated are you to learn a new way of training? *
Not Very Motivated
Very motivated
Describe your training concerns and/or goals, any training history of note, and please explain why you feel you would be a good candidate for training with Emma Kesler CDPT-KA: *
Your answer
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