Authority K9 Academy, LLC
ak9academy@gmail.com
AUTHORITYK9ACADEMY.COM
(630) 819-0470
New Client Evaluation Form
EVALUATION FORM
OWNER INFORMATION:
Full Name
*
First Name
Last Name
Address
*
Street Address
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Your Phone Number
*
Your E-mail
*
Dog(s) name and breed
*
name
Breed
Dog(s) Date of Birth or best guess
*
-
Month
-
Day
Year
Date
Photo of dog
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Your dogs sex
*
Please Select
Male
Female
2nd dogs name (if no second dog no need to fill out)
name
Breed
Dog(s) Date of Birth or best guess
-
Month
-
Day
Year
Date
How did you hear about us?
*
Please Select
Google
Facebook
Instagram
Bark
Previous Client
Ad
Other
Evaluation time and day
*
Check all that apply
*
My dog jumps on guests
My dog pulls on the leash
My dog is not potty trained
My dog is not crate trained
My dog has separtion anxiety
My dog has anxiety/is fearful
My dog barks at strangers (not aggressively)
My dog barks at strangers (aggressively)
My dog is a puppy and doesn't know anything yet
My dog runs away when off leash
My dog has bitten someone
My dog has bitten another dog
My dog has been attacked by another dog
My dog does not like other dogs
My dog does not like strangers
My dog barks at other dogs (just wants to play)
My dog barks at other dogs (aggressively)
My dog does not follow commands when asked
My dog has poor manners
My dog does not respect my children or other family members
Other
An evaluation is $55. Payment is required before the date of your evaluation visit. You can pay through the following:
Zelle (630) 819-0470 (Jessica Morales)
Venmo: AKADOGTRAINING
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