Please fill out the form below so we can learn more about you and your dog. Name * Email * Phone * Please enter an address if you are interested in having "in-home" training sessions. If not, please leave blank Address Address Address Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal What time of day are you available for lessons? * Weekday mornings Weekday afternoons Weekday evenings Weekend mornings Weekend afternoons Weekend evenings What are your immediate goals * What type of training sessions do you prefer? * Educational Training Hands on Training With You & Your Dog Training Your Dog Without You Training Without Handling Your Dog Consultation Dog's Name * Sex * Male Female Dog's Age * Dog's Weight * Are they sprayed/neuetered? * Yes No Not Yet Any current medical conditions? * Is your dog on any medications? * Where was youyr dog obtained/purchased? * Choose one Rescue / Shelter Out of State Breeder In State Breeder Rehome How long have you had your dog? * What other household pets do you have? Age/Spray/Neuter/Species/Sex? * How does your dog react when you get home? * Has your dog ever bit a human or a dog? * Choose one Yes No How many hours a day is your dog home alone? * How does your dog react when you get home? * How does your dog respond when you enter your home? * What do you feed your dog? * How does your dog respond when strangers enter the home? * Please select your desired service? * Choose one In-house services Virtual sessions / remote coaching Comprehensive consultation and program Help me choose ? I'd like to talk first Training What are your training expectation? * Immediate Future What do you feed your dog? * How do you feed your dog? Choose one I leave the food out all day We have a specific feeding time Feeding time and my dog waits for the food Is your dog allowed on the couch? * Yes No Does your dog sleep on the bed? * Yes No Has your dog had any previous training? * Choose one Private Group puppy class Group class No professional training Other Is your dog crate trained? * Yes No What kind of harness, or collar are you using or have used? * Do you allow your dog to meet other dogs on a leach? If yes, please describe how it goes * How much excerise does your dog get a day? * Choose one Less than an hour per day At least an hour a day Very inconsistent Additional information * By checking this box, I have both read and agree with the Terms & Conditions* Signature * Clear Date * If you are human, leave this field blank. Submit Your Form
