Dog Training PAQ | Waitlist

Barks and Rec, Inc.

Wait List Submission Form
Owner Information
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
How did you hear about us?*
I will be on maternity leave until August 1, 2025. When I return to work, I will reach out to you to confirm that you are still interested in dog training. What is your preferred means of communication?*

15-Minute Phone CallTextEmail
Dog Information
Dog's Name*
Breed*
Age*
Weight*
Gender*

MaleFemale
Is Your Dog:*

Spayed/NeuteredIntact
Please describe the behavior concerns that you are experiencing with your dog. What do you hope to achieve through training?*
Has your dog ever bitten a human or another dog for any reason?*

YesNo
If you answered "yes" to the above question, how severe was the bite? Was medical attention needed? Please provide information regarding the circumstances of the bite.
Veterinary Information
Veterinarian*
Is Your Dog Current On All Vaccinations Including Rabies?*

YesNo
Does your pet have any pre-existing health conditions? Please list any known medical issues, including any food allergies.
Do you have any additional comments or concerns?
Should be Empty:

Barks and Rec, Inc.