Form
Name
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First Name
Last Name
Email
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example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
How did you hear about us?
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Your Instagram Handle
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Your Living Situation
What type of home do you live in?
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How many people are living in the home? Please specify children (& their ages) and adults
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What is your current work schedule like?
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Do you have any other pets in the house? (Please list all types of animals)
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About your dog!
What training program are you interested in?
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Private Lessons
Refresher Lesson
Refresher Weekend
Virtual Empowerment Coaching
Your dog's name
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Please list breed (or breeds), age, weight, male/female, and if they are fixed
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Where did you get your dog? (Rescue, shelter, breeder, etc.)
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Please list your Veterinarian's name, location, and phone number.
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Is your dog up to date on their vaccinations and flea/tick/heartworm medication?
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Are you able to provide or have your vet send over their proof of vaccinations? We require Rabies, Distemper, Bordetella, and Influenza.
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Yes
No
Please attach vaccination records here. If you have any issues please email us at fundamentalk9dt@yahoo.com
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Please list your dogs medical history. Are they on any medications (Please provide dose and time)? Do they have any allergies?
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What food is your dog on, how much do they get (measured with cups, not scoops and such), and what is your current feeding schedule?
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Does your dog eat quickly or are they super picky?
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Is your dog ok with you picking up their food bowl?
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What is your dog struggling with? Please tell us everything. This is a no judgement zone, we are here to help you!
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Obedience and listening skills
Doesn't come when called
Jumping
Pulling
Housebreaking
Play biting or mouthing
Over excitement
Runs out the door
Is destructive
Pulls on the leash or is generally disconnected with you
Resource guards items
Chews on inappropriate items
Digging
Counter surfs
Pees when excited
Pees when afraid
Has to be muzzled at the vet
Doesn't do well with grooming
Doesn't allow their nails to be done
Aggressive to other dogs
Has separation anxiety
Has crate anxiety
Whines or barks
Humps
Is fearful
Reactive on leash
Nervous in the car
Overall Mindset work
Other
If "Other" Please explain
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If your dog struggles with aggression, being fearful, or separation anxiety please explain further including some specific situations
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Have you done any prior training? If so, what have you tried and did it help?
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Is your dog crate trained?
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Anything else you would like to add?
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Why do you feel you and your dog are a good fit for our program? What is your reason for wanting to invest in our training?
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Crating is an important ingredient in our training philosophy. Would you be willing to follow the recommendation of crating at night, when you are out, and at least 30 minutes during the day?
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Yes
No
I am familiar with Fundamental K9 Dog Training training methods (Balanced Training) and tools (ECollar, Prong Collar, Slip Lead, etc) as well as their programs and prices. (If not, Please check out our Training Rates and Training Info.
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Yes
Not sure
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