Dog Training Request Form
New client or existing client?
New client
Existing client
Requested appointment date and time - *please note that this is a request and does not mean the date & time you requested will be available.
What is your requested way to train?
*
Please Select
In person Training
Drop off Training
Remote Training (great for out of area or owners who have time restrictions.)
Owner Information
Name
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Dog Information
Breed
*
Age *if exact birthday is known please include
*
Name of the dog
*
Gender of the dog
*
Male
Female
Neutered Male
Spayed Female
Weight of dog
*
About how long ago has your dog been altered? (spayed/neutered)
*
1 month or less
6 months or less
1 year ago
2+ years ago
My dog has not been altered
Is your dog currently in good health?
*
Yes
No
Do you have any concerns about your dogs health? Please explain.
*
How long since your dogs last visit to your veterinarian?
*
Is your dog updated on his/her vaccinations?
*
Yes
No
Select the services that you want
*
Consultation or Evaluation Assessment
New Puppy Introduction
Puppy classes (under 6 months)
Basic Obedience
Intermediate / Advanced Obedience
Behavior modification
Socialization Classes
Proper House Manners
Leash and Walking etiquette
Recall Training
Calming The Chaos (dealing with anxious and hyper dogs)
Trick Training
Confidence Building
Other
Please select the following commands and behaviors your dog has learned, understands and is able to perform without you having to repeat said commands.
*
Name (the dog looks at you when you say their name)
Recall (come)
Sit
Down
Wait
Stay
Drop item
Leave item
Place
Walks on leash without pulling
Greets others without rushing, jumping or pushing into them
Waits to cross at doors and barriers
Back up (this is to either create more space or to move away from items)
Look (is able to hold their focus and attention on you until you release them)
Takes treats, food and toys from you gently
What is your primary concern about your dog?
*
Does your dog show any type of aggression?
*
Yes
No
I'm not sure
Have you and your dog worked with any dog trainers previously?
*
Yes
No
Add any information or comments that you think may be helpful about you and your dog.
*
How did you hear about us?
*
Please Select
Facebook
Instagram
Online Ads
Google Search
Referred by a friend
Word of mouth
Submit
Should be Empty: