Dog Training Request Form

Dog Training Request Form
New client or existing client?

New clientExisting 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?*
Owner Information
Name*

First NameLast Name
Phone Number
Please enter a valid phone number.
Email*
example@example.com
Dog Information
Breed*
Age *if exact birthday is known please include*
Name of the dog*
Gender of the dog*

MaleFemaleNeutered MaleSpayed Female
Weight of dog*
About how long ago has your dog been altered? (spayed/neutered)*

1 month or less6 months or less1 year ago2+ years agoMy dog has not been altered
Is your dog currently in good health?*

YesNo
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?*

YesNo
Select the services that you want*

Consultation or Evaluation AssessmentNew Puppy IntroductionPuppy classes (under 6 months)Basic ObedienceIntermediate / Advanced ObedienceBehavior modificationSocialization ClassesProper House MannersLeash and Walking etiquetteRecall TrainingCalming The Chaos (dealing with anxious and hyper dogs)Trick TrainingConfidence BuildingOther
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)SitDownWaitStayDrop itemLeave itemPlaceWalks on leash without pullingGreets others without rushing, jumping or pushing into themWaits to cross at doors and barriersBack 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?*

YesNoI'm not sure
Have you and your dog worked with any dog trainers previously?*

YesNo
Add any information or comments that you think may be helpful about you and your dog. *
How did you hear about us?*
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Dog Training Request Form

Owner Information

Dog Information