Student Profile Form

Student Profile Form

Please fill in your details and upload any relevant documents.
Your confirmed Order Number:*
Handler's Full Name*

First NameLast Name
Phone Number
Please enter a valid phone number.
Handerler's Email Address*
example@example.com
Dog's Information*

Dog's Name

Breed Type
Age in years (for puppys date of birth)
What previous class or training has your dog experienced, if any?*
Where did you obtain your dog?*
How did you hear about our class?*
Do you or your dog have any physical disabilities that might effect your training?*
What do you want to accomplish in this class?*
List cues your dog responds to now:*
What concerns you most about your dog?:*
Which of the following applies to your dog?*

Excessive EnergyDestructiveShyBitesAggressiveGrowlsBarkingPossissiveNone / No concerns
Please briefly describe any of the behaviors indicated:*

Number of hours (24 / day) your dog is:

	Inside	Outside	With Humans	Without Humans
24 hrs

Where does your dog sleep?*
What type of collar, head halter or harness are you using now?*
Upload Proof of DHLPP (parvo / distemper) AND rabies for all dogs 5 months or older*

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Upload Proof of Adoption IF applicable (in order to receive the One-Time Only discount)

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