Basic Manners Intake Form
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Email *
Name *
Phone Number *
Are you looking for in-person or virtual support? *
Address (For in-person only. Please include city, zip code)
Dog's name, age, sex, breed (or best guess) *
Is your dog spayed/neutered? *
Where did you get your dog? (Rescue, breeder, rehome, name of the organization) *
How long have you had your dog? *
What behavior(s) are you looking for support with, and what are your training goals? *
Are there any other people in the home? (Please list names, ages) *
Are there any other pets in the home? (Please list names, ages, species) *
How does your dog greet new people? *
Required
Has your dog ever bitten a person or another dog? If yes, please explain circumstances and extent of injuries, if any *
Have you done any prior training with your dog? Please list methods or tools used *
What is your favorite thing about your dog? *
How did you hear about us? (If referred, please list name of referral so I can thank them!) *
Would you prefer to be contacted by phone (text only) or email? *
I will check my spam folder for an email within 48 hours for signup information *
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