Dog Training Application
Please fill out all the information given to provide the best service for you
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
What form of contact is best?
*
Text
Call
Email
Preferred Days for Training (days are not guaranteed) select all that apply:
Monday
Tuesday
Wednesday
Thursday
Friday
Are you wanting private in-home training or private training at our facility? (prices differ)
*
In-Home
At Facility
How did you hear about us?
*
Please Select
Internet Search
Facebook
Instagram
Friend/Family Member
TV Ad
Flyer
Business Card
Other
If Other, please list here:
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Dog Information
Please provide information about the dog you are wanting to have trained
Dog's Name
*
How long have you had your dog?
*
Dog's Breed
*
Dog's Age
*
Please Select
0-3 months
3-6 months
6-12 months
1 year old
2 year old
3 year old
4 year old
5 year old
5+ year old
Does your dog have any prior training? If so, please explain if not put N/A
*
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Household Information
These answers will helps us understand the environment that your dog is in
Please list everyone that lives in the household and their ages (all information is confidential and will remain between the trainer and management) This information will help us prepare for the training only.
*
Are there any other pets in the home? (this includes reptiles, cats, birds, etc.) If yes, please list the species, age (if applicable), and where they stay.
How much during the week is your dog left alone?
*
Always
Almost Always
Somewhat
Rarely
Never
Does your dog stay in a kennel?
*
Yes
No
Is your dog potty trained?
*
Yes
No
Somewhat
Does your dog have any of the following issues? (check all that apply)
*
Aggression
Counter Surfing
Reactive
Leashing Pulling
Recall
Biting
Food Guarding
Basic Obedience (down, sit, stay, come, heel, and place)
Poor socialization (human or other dogs)
Potty Training
Barking
Mouthing/nipping
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Date
-
Month
-
Day
Year
Date
Signature
Submit
Should be Empty: