The Canine Scholar - Private Bookings

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Contact Information* This field is required.
Your name
Email
Cell phone
2
Select the service you would like to book* This field is required.
I would like a trainer from The Canine Scholar to help me decide
Training Package in-studio (3 x 60 mins.) $420
Training Package in-home (3 x 60 mins.) $480 + travel fees
Puppy Package in-studio (3 x 60 mins.) $420
Puppy Package in-home (3 x 60 mins.) $480 + travel fees
Behavior Package in-studio (5 x 60 mins.) $700
Behavior Package in-home (5 x 60 mins.) 800 + travel fees
Boredom Busters, in-studio only (3 x 30 mins.) $180
Double Trouble in-studio (3 x 60 mins.) $570
Double Trouble in-home (3 x 60 mins.) $660 + travel fees
Phone Consultation (30 mins.) $60
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Address* This field is required.
Street address
Street address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
4
Parking and Entry* This field is required.
Where should The Canine Scholar park during your sessions? If you live in an apartment, please provide details regarding your visitor parking.
If you live in an apartment, please provide instructions regarding how to enter the building.
5
Dog's Information* This field is required.
Dog's name
Dog's breed
Dog's age
Dog's weight
Where did you get your dog?
How long have you had your dog?
What do you know about your dog's past?
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Dog's Health* This field is required.
Vaccine records up to date (yes/no)
Spayed or Neutered (yes/no)
List your dog's medications and what they are for
Has your dog had recent injuries? Please describe them.
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Dog's Environment* This field is required.
List the name, gender, and age, of all people who live with the dog
List all animals (include species) that live in your house
What type of exercise does your dog get, and how often?
Is your dog crate trained? When do they use the crate?
Does your dog like to ride in the car?
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How does your dog respond to strangers when they enter your home? (please check all that apply)* This field is required.
Ignores them
Approaches them in a happy, friendly way
Approaches them in an overexcited way (but friendly)
Is interested but too shy to approach
Is very scared and goes to hide
Growls/barks (shows aggression) while moving towards them
Growls/barks (shows aggression) while retreating away from them
My dog would bite if I did not restrain them
Other
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How does your dog respond to strangers in a public place, like a park? (please check all that apply)* This field is required.
Ignores them
Approaches them in a happy, friendly way
Approaches them in an overexcited way (but friendly)
Is interested but too shy to approach
Is very scared and goes to hide
Growls/barks (shows aggression) while moving towards them
Growls/barks (shows aggression) while retreating away from them
My dog would bite if I did not restrain them
Other
10
How does your dog respond to unfamiliar dogs when they enter your home? (please check all that apply)* This field is required.
Ignores them
Approaches them in a happy, friendly way
Approaches them in an overexcited way (but friendly)
Is interested but too shy to approach
Is very scared and goes to hide
Growls/barks (shows aggression) while moving towards them
Growls/barks (shows aggression) while retreating away from them
My dog would bite if I did not restrain them
Other
11
How does your dog respond to unfamiliar dogs in a public place, like a park? (please check all that apply)* This field is required.
Ignores them
Approaches them in a happy, friendly way
Approaches them in an overexcited way (but friendly)
Is interested but too shy to approach
Is very scared and goes to hide
Growls/barks (shows aggression) while moving towards them
Growls/barks (shows aggression) while retreating away from them
My dog would bite if I did not restrain them
Other
12
Aggression towards dogs* This field is required.
Please Select
Please Select
Yes
No
Has your dog ever been in a fight with another dog?
Please Select
Please Select
N/A
1
2
3
4
5+
How many times?
Please Select
Please Select
Yes
No
Has your dog ever injured another dog?
Please Select
Please Select
N/A
Yes
No
Was there a puncture?
Please Select
Please Select
N/A
Yes
No
Did the injured dog need to see a veterinarian?
13
Aggression towards people* This field is required.
Please Select
Please Select
Yes
No
Has your dog ever bitten a person?
Please Select
Please Select
N/A
1
2
3
4
5+
How many times?
Please Select
Please Select
Yes
No
Has your dog ever injured a person?
Please Select
Please Select
N/A
Yes
No
Was there a puncture?
Please Select
Please Select
N/A
Yes
No
Did the injured person need medical attention from a doctor?
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What happens if you interrupt your dog while he is eating?* This field is required.
He doesn't seem to mind
He tries to eat more quickly
He's friendly and accepts pets
He freezes and stands over his bowl
He growls, snaps, or bites
I'm not sure
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What happens if you try to take away a high-valued item (e.g. favorite toy or bone) from your dog?* This field is required.
He doesn't seem to mind
He quickly grabs the item and runs away in a game of chase
He's friendly and accepts pets
He freezes and stands over the item
He growls, snaps, or bites
I'm not sure
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What happens when you leave your dog home alone? Do they destroy your house?* This field is required.
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Does your dog pull on a leash? On a scale of 1-10, how severe is the pulling?* This field is required.
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What type of equipment have you tried using with your dog?* This field is required.
Harness (leash attaches to the back)
Harness (leash attaches to the front)
Head collar (Halti, gentle leader etc.)
Flat buckle collar
Remote/electronic collar
Choke chain collar
Prong collar
Martingale
Bark collar
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Food/Feeding* This field is required.
How many times a day do you feed your dog? Or, is food always available?
What brand of dog food does your dog eat? Or, is your dog on a raw food diet?
Does your dog have any food allergies?
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Training Goals* This field is required.
Was there an incident that prompted you to seek the help of The Canine Scholar? If yes, please describe
What are the top 3 reasons (point form) that you are seeking the help of The Canine Scholar?
Have you worked with another trainer? If so, what techniques did you use and were they successful?
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In what areas does your dog need improvement?* This field is required.
House breaking
Fearfulness or shyness
Separation anxiety
Basic obedience (sit, come, heal etc.)
Chasing animals (rabbits or squirrels etc.)
Impulse control (stealing food from the counter or grabbing items during a walk etc.)
Aggressive towards people when on leash
Aggressive towards dogs when on leash
Aggressive towards people
Aggressive towards dogs
Resource guarding (food or toys etc.)
Boredom
Excessive barking
Destructibe digging
Destructive chewing
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How did you hear about The Canine Scholar?* This field is required.
Google search
The Alberta Force Free Alliance website
Best in Edmonton website
Facebook
Instagram
The Canine Scholar business card
I was referred by a friend or family member
Other
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Policies Agreement* This field is required.
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Liability Waiver* This field is required.
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SignatureBy signing below, I hereby certify that the information I provided is true and accurate, and that I have read, understood, and agree to The Canine Scholar's Policies Agreement and Liability Waiver.
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