Puppy Coaching Form
For puppies 5 months of age and under. I do NOT service Saraland, Satsuma, Chickasaw, Eight Mile, Baldwin County, Downtown/Midtown, Dauphin Island, or Wilmer. Please email me mobiledogconsulting@gmail.com to verify I visit your area.
Full Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Do you receive texts to this number?
Yes
No
E-mail
What is the best way to contact you?
Phone call
Email
Text
Facebook Messenger
Physical Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about me?
*
Puppy 1
Puppy's Name
*
Breed or mix
*
Where did you get your puppy? Please include NAME of rescue, shelter or breeder if applicable.
*
Puppy's age now or date of birth, if known:
*
How old was your puppy when you got him/her?
*
Is your puppy spayed or neutered?
*
Yes
No
Not Yet
Puppy's sex:
*
Male
Female
Puppy's weight
*
Coat color
*
Do you use a crate with this puppy?
*
Yes
No
We have one but do not use it.
We use an ex-pen
We confine the puppy to a room (with or without baby gates)
Has your puppy ever seriously bitten a person or other animal?
*
Yes
No
If yes, please explain:
Is your puppy motivated by food/treats?
*
Yes
Sometimes/Depends on the food/treat
No
Is your puppy motivated by toys?
*
Yes
Sometimes/Depends on the toy
No
How often is your puppy exercised?
*
What kinds of exercise does your puppy get?
*
List any medications your puppy is currently on:
Does your puppy have allergies?
What brand/s of dog food do you feed your puppy?
*
How many times a day is your puppy fed?
*
Additional Information
Veterinarian (Vet's name & clinic name):
*
Has your puppy had previous training? If yes, please list where and name of trainer:
*
List any skills your puppy has (sit, down, stay, etc)
*
What are your goals/why are you interested in training?
*
If you are having problems beyond typical puppy behaviors, explain your issue/s:
How long have you been dealing with the issue/s?
What/how have you tried to fix the issues?
Please list any other pets in the home (name, breed, age):
Names of other adults living in the home:
*
Age/s of children who live in the home or visit often:
*
How much time does your puppy spend home alone?
*
Where does your puppy stay when home alone?
*
Where does your puppy sleep at night?
*
Is there anything else you would like me to know about you or your puppy?
What days/time frames would be best for you to schedule a consult?
*
I am interested in:
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Puppy Starter Session (single session) $150
Puppy Survival Program (3 lessons) $350
Puppy Manners Program (5 lessons) $500
Puppy Prodigy Program (8 lessons) $750
Do you prefer a folder with printed handouts or emailed handouts?:
*
Folder with printed handouts
Emailed handouts
I understand there is a $150 non-refundable deposit required to book a consultation (payable via Venmo, Cash App, or Zelle) & balance is due at consult:
I agree
I understand that training fees are NOT refundable:
I agree
Program sessions expire 3 months from date of first session. No exceptions.
I agree
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