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Dog Training Request
Please provide a copy of Vaccinations and a Rabies Certificate before your first training session.
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Contact Information
Name
*
Your answer
Address
Your answer
City / State / Zip
Your answer
Phone / Cell #
*
Your answer
EMail
*
Your answer
Dog's Name
*
Your answer
Dietary Restrictions or Allergies
Your answer
Breed
Your answer
Age
Your answer
Gender
*
Male - Neutered
Male - Not Neutered
Female - Spayed
Female - Not Spayed
Training Issues
What types of training are you interested in?
Private Lessons
Group Classes
Play and Train
Obstacles
Puppy Playtime
Please put a check mark next to each behavior you would like to improve.
Calming Down
Waiting at doors and stairs
Greeting people politely ( reduce jumping up )
Appropriate play with people ( reduce mouthiness )
Walking on a loose leash ( reduce pulling )
Coming when called
Build confidence with new people
Build confidence with new dogs
Staying off the furniture or counters
Handling feet or teeth
Toilet training
Quiet ( reduce barking )
Sharing ( reduce resource guarding )
Being confident alone ( reduce separation anxiety )
Which issue is
the
most important for you to work on right now?
Your answer
What are your long term goals with your dog? ( Family Pet, Therapy, Agility, Obedience, etc )
Your answer
What hand signals or verbal cues does your dog already know?
Your answer
If your dog has ever bitten a person or another dog please give details below: ( who, why, severity, etc. )
Your answer
Do you have any other comments or concerns?
Your answer
Please scroll up after clicking SUBMIT - Thank you!
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