New Client EOI Form
Firstly, your details:
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City / Suburb
State
Mobile
*
Now your dog's details!
Name (s)
*
Please use a comma to separate the names of dogs.
Age (s)
*
Please list age in the same order the names were listed
Gender (s)
*
Please list gender in the same order names were listed
Breed(s)
*
Please list breeds in same order the names were listed.
Is your dog up to date with vaccinations?
*
Yes
No
Other
Is your dog spayed/ neutered?
*
Yes
No
Does your dog have any health or medical issues?
*
Allergies, seasonal issues, anything diagnosed by a vet.
Is your dog insured?
*
Yes
No
Training
What are you wanting to see improved in your dog through Walk & Train services?
*
Loose leash walking
Obedience
Tricks
Recall
Confidence building
Other
How food motivated is your dog?
*
1: They'd starve if given the chance - 10: They forget how to breathe/think when food is involved.
Is your dog toy motivated at all?
*
Ball is life
Tug of war forever
Will play if a toy is there but isn't phased
Destroys all toys ASAP
Has never cared about toys
Other
Has your dog gone through prior training? If yes, please elaborate on methods used and the trainer/ business you used (if you are comfortable with this)
*
I am a balanced trainer. This means I use a lot of positive reinforcement with aversives as needed. My main tool of choice is a slip lead. collar as I find it assists with efficient communication with the dog, my method puts the dog in complete control over leash pressure, the only way to hurt a dog with this tool is through incorrect use. Would you be comfortable with me teaching yourself and your dog how to use this tool?
*
Yes
No
Photos and videos will be taken during sessions, do you give permission for these to be used in promotional media?
Yes
No
How did you hear about Rebellious K9?
*
Flyer
Word of mouth
Instagram
Facebook
Google
Other
Submit
Thanks for reaching out!
I'll be in touch to discuss a meet/ evaluation as soon as possible. You will soon be added to the monthly RK9 Newsletter, you can unsubscribe whenever you'd like!
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