Pet Training Inquiry Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Preferred method of contact
*
Phone
Email
Text
If text, provide phone number
-
Area Code
Phone Number
Pet’s Name
*
Pet’s Date of Birth (or approximate)
*
Pet’s Breed
Main Reason(s) for seeking out Trainer
*
Has Pet been through previous group training?
*
Yes
No
Unsure
Behaviors Owner would like to explore
*
Potty Training
Car Anxiety/Crate Training
Coming on Command
Jumping Management
Loose Leash Walking/Heeling
Mouthing/Destructive Chewing Management
General Socialization
Reactivity Management
Focus Building
Escaping
Digging Management
General Anxiety
Separation Anxiety
Energy Management
Other
If "Reactivity Management" is a concern, against which beings or objects does the pet react negatively? REQUIRED
*
Adult Men
Adult Women
Children
Dogs
Cats
Small Animals
Specific Object
Unknown
Does Not Apply
Does the Pet have a fight history causing bodily harm to either person or another animal?
*
Yes
No
Date of Rabies vaccination (if over 4.5 months of age)
*
If the Pet is under 4.5 months old, when was the last booster shot administered?
*
Any significant medical findings may be listed here
Send
Should be Empty: