Owner Information
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
E-mail
*
How Did You Hear About Us?
*
Please Select
Client Referral
Veterinarian
Groomer
Kennel
Other
Have You Ever Owned A Dog?
*
Select Training Package
*
Basic Manners
Basic Manners 2.0
New Puppy Consult
General Assessment
Briefly State What You Hope To Accomplish With Your Sessions:
*
Dog Information
Dog's Name
*
Breed
*
Age
*
If your dog was adopted from a rescue/shelter what is the date?
How Long Have You Owned The Dog?
*
Gender
*
Male
Female
Has Your Dog Been:
*
Spayed
Neutered
None of the Above
Is Your Dog Current On All Vaccinations Including Rabies?
*
Yes
No
Please Select
Breeder
Rescue
Shelter
Other
Veterinary Information
Vet Clinic
Address/Phone Number
Street Address
Street Address Line 2
City
Phone Number
Postal / Zip Code
Behavior Information
Describe Any Previous Obediance Training:
Level Of Success?
Please Select
Poor
Fair
Moderate
Excellent
What Commands Currently Work Best?
Does Your Dog Know How To Walk On A Leash?
*
Yes
No
Where Does Your Dog Sleep At Night?
Is Your Dog House Trained?
Tell Me About Any Correction Techniques You Have Used And Their Effect On Your Dog’s Behavior:
Time Out
Please Select
Have Not Tried
Worsened Behavior
No Effect
Improved Behavior
Leash Correction
Please Select
Have Not Tried
Worsened Behavior
No Effect
Improved Behavior
Verbal Scolding
Please Select
Have Not Tried
Worsened Behavior
No Effect
Improved Behavior
Water Spray
Please Select
Have Not Tried
Worsened Behavior
No Effect
Improved Behavior
Other
Please Select
Have Not Tried
Worsened Behavior
No Effect
Improved Behavior
Other Description, If Needed:
Behavior Problems:
*
Jumping Up
Leash Pulling
Barking
Running Away
Chewing
Potty Training
Over Excitement
Covid Puppy Issues
Other
Describe Unwanted Behavior In Greater Detail:
*
Do You Use A Crate?
*
Yes
No
Does Your Dog Like The Crate?
*
Yes
No
Please Select
Option 1
Option 2
Option 3
Please Select
Option 1
Option 2
Option 3
Please Select
Option 1
Option 2
Option 3
Please Select
Option 1
Option 2
Option 3
Please Select
Option 1
Option 2
Option 3
Please Select
Option 1
Option 2
Option 3
Please Select
Option 1
Option 2
Option 3
Please Select
Option 1
Option 2
Option 3
Please Select
Option 1
Option 2
Option 3
Please Select
Option 1
Option 2
Option 3
Payments can be made directly to
n_ilett@hotmail.com
thru etransfer. All training packages are to be paid in full no later than 72 hours following confirmation email.
No Refunds will be offered 72 hours prior to first training session start date.
By Clicking The Submit Button You Agree To The Above Terms
Submit
Should be Empty: