Remote Training Collar Request Form
Your Name
*
First Name
Last Name
Your Pronouns
he/him | she/her | they/them | other
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
I understand that there are extra fees associated for lessons done outside of the 20 mile service area.
*
I understand
How much dog handling/husbandry experience do you have?
*
A GREAT DEAL: I have significant hands on experience with caring for and handling dogs and am confident in my skills.
A MODERATE AMOUNT: I have a moderate amount of experience with handling dogs but am not fully confident with all aspects of caring for a dog.
NONE AT ALL: I will need significant help in learning about canine husbandry and handling.
How much dog training experience do you have?
*
A GREAT DEAL: I have trained multiple dogs to high levels of obedience and have significant training experience.
A MODERATE AMOUNT: I have trained 1-3 dogs to obedience skills such as sit, down, stay but do not know how to train advanced skills.
NONE AT ALL: This will be my first time training a dog and I have no prior training experience.
How much time do you have to commit to working with and training your dog?
*
A GREAT DEAL: I have a significant amount of time each day to be with and actively work with my dog.
A MODERATE AMOUNT: I have at least 30 minutes of time each day to work with my dog.
NONE AT ALL: I barely have time for things outside of my current commitments and do not see being able to take time out of my day to work with and train my dog.
Dog's Info
Dog's Name
*
Dog's Breed Info
*
Purebred
Mixed Breed, Unknown/Guessed
Mixed Breed, Known (through parentage)
Mixed Breed, Known (through DNA testing)
Dog's Breed(s)
*
Dog's Age
*
Dog's age known or approximate?
*
Known
Approximate
Dog's Weight
*
Dog's Sex
*
Intact Male
Neutered Male
Intact Female
Spayed Female
How long have you owned your dog?
*
How did you acquire your dog?
*
Breeder
Shelter
Pet Store
Found Stray
Rescue Group
Other
What are the main reasons you got the dog?
*
Companionship
For the kids
For protection
To breed
Received as gift
Sports/Work
Therapy Dog
Service Dog
Companion for another dog
Other
Has your dog ever shown signs of aggression to any human or animal?
*
Yes
No
Does your dog have any allergies?
*
Yes
No
Allergies
How much exercise does your dog receive per day?
*
How long does your dog's exercise last?
*
Training
Have you used a Remote Training Collar before?
*
Yes
No
If yes, please explain your experience and knowledge of RTC's.
*
Has your dog had professional training before?
*
Yes
No
Name of trainer/facility
*
When walking/training your dog, what equipment do you use?
*
Flat Buckle Collar
Head Halter
Back Clip Harness
Front Clip Harness
Choke Chain
Pinch/Prong Collar
Remote Training Collar
Other
What type of leash do you use?
*
4 foot nylon or leather leash
6 foot nylon or leather leash
Retractable leash
Other
Training Goals
*
Submit
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