Registration Form for Training
Coastal K9 Training and Behavior
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Are you or someone who resides in your house physically capable to train your dog? Meaning, are you able to bend over, walk at a brisk pace, squat down etc..
Dogs Name
Dogs Age/Weight/Sex/Breed
How long have you owned your dog?
Is your dog on any medication to help with behavior?
Check all that apply about your dog
*
Pulls on the leash
Bolts through the door
Growls at people
Has separation anxiety
Overactive and Hyper
Jumps on people
Having accidents in the house
Whines & Barks in the crate
Has bitten a person
Has bitten an animal
Stresses easily
Doesn't come when called
Guards any of the following: toys/food/people/space/Furniture
Aggressive towards dogs
Doesn't listen around distractions or outside
Struggles with anxiety
Only has issues if people try to pet
What do you hope to accomplish with your dog during training, and What are the most important things we can teach you and your dog to help you enjoy your pet to the maximum? The more you write the better prepared I will be when we meet!
Has your dog ever bitten a person or another animal? If yes, please describe the circumstance & extent of the injury
Coastal K9 highly recommends using a crate to help in the behavior modification process, Depending on the issue,(especially for severe behaviors) this may be non-negotable-is this something you are willing to do? If No, we may not be the right trainer for you!
Yes!
No
Im on the fence I don't understand why this matters, educate me.
I have read and understood the pricing for services below... Check what you are most interested in.
Consultation 1.5 hrs $250
Stay and Train Program 3 weeks/4 weeks/ 5-6 weeks
In Home Sessions 200$. (3 sessions for minor problems - 6 sessions at least for moderate/severe issues)
Private Sessions at Hamden CK9 Studio @ 125$
In Home Ecollar Program
Im Here just for the Group Classes
Other
Check all that applies
I use an electric fence outside
use an electric fence inside
I currently Use an ecollar that is over 100$
I have attempted to use and ecollar but I have no idea what Im doing
None
I use an ecollar that I got off amazon 30-75$
If you want In Home private session training or sessions at the studio. When are you available?
*
I am aware that Coastal K9 Training and Behavior uses all quadrants of Operant Conditioning. We are balanced dog trainers which means in some cases we may utilize Prong Collars, Slip Leads, E-Collars, etc. to help aid in change of behaviors. By answering yes to this gives us consent to utilize balanced dog training approaches in our sessions.
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