Pre-Consultation Form

Private Training Registration Form
Date

DayMonthYear
Date
I would like to book a:
I would like the training to be:
Student Name

First NameLast Name
Partner's Name

First NameLast Name
Any other people living in your household, if so whom?
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student E-mail
example@example.com
Mobile/Cell Number
Format: (000) 000-0000.
Alternative Phone Number
Format: (000) 000-0000.
Dog's Details
Dog's Name
Dog's Breed
Dog's Date of Birth

MonthDayYear
Dog's gender
What does this dog chase?
Dog #2 Details
Dog's Name
Dog's Breed
Dog's gender
Dog's Date of Birth

DayMonthYear
What does this dog chase?
Other Pets
Do you have other pets in your household? If so, please include their name, age, breed, species and where they live (e.g. Annie, 7 yrs, Ragdoll cat, indoors).
Dog's Usual Routine
What do you feed your dog? (dry/kibble, raw etc.)
How often do you feed your dog?
How much time does your dog spend inside the house?

Other
How many walks does your dog have?
Where is your dog when your dog is without human company?
On average, how many hours per day is your dog without human company?
Outline of your dog's usual routine
What toys does your dog like to play with?
What cues (words or signals) does your dog respond to reliably
Does your dog have any medical issues or allergies?
Primary reason for seeking private Un-Chase! training?
What do you hope to achieve from private training sessions?
How did you hear about Un-Chase!®?
Additional Comments
Should be Empty:

Private Training Registration Form

Dog's Details

Dog #2 Details

Other Pets

Dog's Usual Routine