Reactive Rascal Registration

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

Email

example@example.com

Where did you hear of us?

Dog's Name

Dog's Age

If unknown please give an estimate

Dog's Breed

Dog's Sex

Is your dog neutered/ spayed?

If YES, at what age did they get this?

How long have you had the dog?

Who is your dog's vet?

Please provide name of vet clinic

Does your dog have any medical issues?

If yes, please provide details

What was the reason for your last vet visit?

Is your dog on any type of medication?

If yes, please list them

Do you work with other dog professionals?

If so please provide details. This could include dog walkers, trainers, day cares, holistic therapists or anyone else working with your dog.

Has your dog had any previous training? (If yes, describe who did the training, training methods and type of training).

Ex puppy class, obedience training, reactive training etc.

What tricks / skills does your dog know?

Have you noticed any changes in your dog's behaviour?

Has your dog ever bitten another dog or human?

If yes, please provide details.

Does your dog lunge, growl or bark at people?

Does your dog lunge, growl or bark at other dogs?

What would you most like to change about your dog's behaviour? Name at least three things in order of importance.

Please provide as much detail as possible.

On an average day, how much exercise does your dog get? (Please be honest there is no wrong answer.)

What is your dog's favourite activity?

What is your dog's least favourite activity?

Tell us about your dogs eating routine

Please list the brand and type of food along with how often you feed your dog. If you use treats please detail these too.

Does your dog have any time of food allergies?

Is there anything else you wanted to add?

My Products

Reactive Rascal

Learn to understand your dog's reactivity, manage embarrassing outbursts and help change your dog's association with their triggers

$550.00 CAD Quantity

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Subtotal

Tax

Total

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What are your preferred training times?

Other