Dog Training Consultation Form
(Registration Form)
Section One
(About You)
Name
*
First Name
Last Name (Optional)
E-mail Address
*
example@example.com
Contact Number
*
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Would you like a face-to-face consultation?
*
Please Select
Yes
No
Unsure
Please describe what you expect to get out of your training with us.
*
• • •
Section Two
(About Your Dog)
Name
*
Age
*
Years
Months
Breed
Sex
*
Please Select
Male
Female
Is your dog neutered/spayed?
Please Select
Yes
No
Unknown
Does your dog have any known allergies or medical needs?
*
Has your dog ever bitten?
*
Please Select
Yes, my dog bit a person
Yes, my dog bit another dog
No, my dog has never bitten
If the Answer to the previous answer was yes, please describe the scenario.
Has your dog ever shown any signs of aggression towards people or other dogs?
How long ago was your last visit to the vet?
*
If you don't know exactly, just estimate.
What was the reason for your last vet visit?
*
Where did you get your dog from?
*
Approved breeder
Rescue Shelter / Home
Other
Is your dog toilet trained?
Please Select
Yes
No
Mostly
How often does your dog go on a short walk? (less than 30 minutes)
Please Select
More than once a day
Once a day
Multiple times a week
Once a week
Less than once a week
Never
How often does your dog go on a long walk? (more than 30 minutes)
Please Select
More than once a day
Once a day
A few times a week
Once a week
Less than once a week
Never
Does your dog get off lead exercise?
Please Select
Yes
No
Sometimes
How does your dog react to meeting people and dogs for the first time inside your home?
How does your dog react to meeting people and dogs for the first time outside your home? (i.e on a walk)
How did you hear about us?
Google Search
Referred by someone
Local advertising (business card/leaflet etc...)
Other
Do you have any questions for us?
Please verify that you are human
*
Submit
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