In-Home Training Registration Form

Customer Details:

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Format: (000) 000-0000.

E-mail

example@example.com

How did you hear about us?

Dog name:

Age:

Breed or mix:

Gender:

Spayed or neutered:

Does your dog have any health concerns at the moment?

How long have you had your dog?

Are there other people and pets in the home?

Please list what your dog knows (sit, down, etc.):

Tell us your pup's training history (none, private lesson, class, etc):

Why are you reaching out to us for training help?

I grant my permission for Walk This Way Canine Behavior Therapy to work with my pet. I understand that in the area of bbedience training, owner compliance is necessary for the dog to understand and retain the training he/she has received. I also understand that in the area of behavior modification, owner compliance and patience are key in the rehabilitation of my pet. I understand that any behavioral abnormality is controllable but not necessarily curable, especially when concerning aggression problems. I do not hold Walk This Way Canine Behavior Therapy responsible for the actions of my animal during or after treatment.

Fees are non-refundable, and payment is expected at the time of service.

If the trainer arrives and my dog is not home, the full amount will be charged.

Cancelations must be made 48 hours in advance with the exception of illness or injury.

By clicking submit, I agree to these terms.