Refresher B&T

Refresher Board and Train Request

To request a Refresher Board & Train program, please fill out and submit the form below. We are looking forward to seeing you again!
About You
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Best Phone Number*

Area CodePhone Number
Current Information About Your Dog
Name*
Breed*
Gender*

MaleFemale
Dog's Birthday*

MonthDayYear
Spayed/Neutered?*

YesNo
Spay/Neuter Date*

MonthDayYear
Where does the dog sleep?*
Is the dog allowed on furniture?*

YesNoSometimes
Describe any health issues your dog has experienced since the last Board & Train*
Example: Allergies, gastro-intestinal, surgeries, etc.
What furniture and when?*
Describe the dog's daily activities*
Tell us about any issues that you are experiencing with your dog now.

Please select YES or NO for each option below
Excessive Barking*

YesNo
Explain*
Chewing*

YesNo
Explain*
House-Breaking*

YesNo
Explain*
Digging*

YesNo
Explain*
Jumping*

YesNo
Explain*
Running Away*

YesNo
Explain*
Chasing*

YesNo
Explain*
Mouthing*

YesNo
Explain*
Food or Toy Possesive*

YesNo
Explain*
Dog Aggression*

YesNo
Explain*
People Aggression*

YesNo
Explain*
Other undesireable behavior*

Rate how well the dog listens*

	1	2	3	4	5	6	7	8	9	10

1 is Does NOT Listen, 10 is Extremely Responsive

What were your specific goals for the last board and training session?*
What are your specific goals for this board and training session?*
Please list your preferred dates for refresher training:*
Our trainer will be in touch with you within 24 hours to confirm your dates and discuss payment.
Once your form is received, our trainer will be in touch with you within 24 hours to confirm your dates. At that time, a non-refundable deposit of half the total amount is due to secure the dates. The remainder is due at drop-off on Day 1 of the training program. Payments can be made online, by check, credit or debt card, or cash.
Should be Empty:

Refresher Board and Train Request