Name
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First Name
Last Name
Email
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Phone
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Birthday
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Occupation
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Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Partner's Name
Please share your partner/significant other's name who interacts and may be training with the dog (if applicable)
First Name
Last Name
Ideal week or day to start training
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Services interested in
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How did you hear about me and/or who referred you?
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What is your instagram/social media handle?
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Dog's Name
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Dog's Age
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Dog's Breed
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Is your dog spayed or neutered?
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Dog's Origin
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Is your dog crate trained?
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Please check all behaviors that apply to your dog.
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Part 1
Please check all behaviors that apply to your dog.
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Part 2
Please check all behaviors that apply to your dog.
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Part 3
Please add any details about the behavior(s) here.
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When around dogs, my dog gets…
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Does your dog have a history of any health concerns and/or illnesses?
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Please share your dog’s vaccination record.
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Neighborhood Type
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Type of Home
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Please list all people, dogs or other animals living in the home. If you are living by yourself, please list anyone who frequently comes over and/or interacts with your dog.
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Have you worked with a trainer before?
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If yes, please share the tools and techniques they showed you. What was effective? What was not effective?
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What types of training have you done with your dog?
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What makes you want to seek training for your dog?
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Why are you seeking training with me specifically?
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Where does your dog sleep at night?
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How would you describe your dog?
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I acknowledge and accept that you will be recommending tools based on the needs of the dog, including but not limited to food, slip leash, prong and e-collar if older than 6-8 months.
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I already have the following
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If you already have an e-collar, please share the brand and model of the e-collar.
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What does your dog’s day-to-day routine look like?
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Primary motivations for your dog.
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If you selected other, please explain.
By typing my name below, I understand and agree that this is a form of electronic signature.
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Today's Date
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