New Client Intake Form

New Client Intake Form

Please complete this form so I can learn more about you and your dog and how I can best support your training goals. Once submitted, I’ll be in touch to schedule your first session!
Client Information
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Dog Information
Dog's Name*
Dog Breed*
Dog DOB MM/DD/YYYY*
Dog Gender*
Does your dog have any allergies or medical issues?
Training Goals and Preferences
What are your training goals?
What type of training are you interested in?

Basic obedienceLeash mannersSocializationPuppy trainingReactivityAKC CGCOther
Preferred training location:
Best days for training:

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Best Times for training:

Morning (9:00am - 11:00am)Midday (11:00am - 2:00pm)Afternoon (2:00pm - 5:00pm)Evening (5:00pm - 7:00pm)
Dog Behaviorial Background
Has your dog ever shown any aggression, reactivity, or anxiety? If so, please provide details.
Has your dog had previous training? If so, please provide details.
Should be Empty:

Client Information