Name
*
Phone
*
Address
*
Email
*
First
Last
Street Address
City
Primary
Secondary
Female (spayed)
Female (un-spayed)
Male (neutered)
Male (un-neutered)
State
Zip
Contact Information
Dog's Name
*
Pet Information
Please upload a picture of your dog.
Sex
*
Color(s)
Breed
*
Veterinarian
*
Veterinarian's
Phone
*
Please describe any aggressive behaviors your dog has ever shown.
Birthday
(mm-dd-yyyy)
*
MD
PA
DC
VA
What else would you like us to know about your dog?
What would you like us to work on with your dog?
*
Please describe how you have previously addressed undesired behaviors in your dog.
Select a service:
*
I certify that my dog is current on the Distemper and Rabies vaccine.
Please upload your dog's current vaccine records or bring to the first class.
I agree to the following class requirements:
Behavior Consultation (Initial)
Behavior Consultation (Follow-Up)
I have read and agree to the
Waiver of Liability
.
Service Information
*
*
*
1. I will not feed my dog 4 hours prior to class.
2. I will prepare at least two types of small, moist, high-value treats (such as hot dogs, cheese, etc.).
3. I will not use aversive equipment during training (such as choke chains, prong collars, etc.).
4. I will wear appropriate clothing (long pants, closed-toed shoes).
Enter these 5 letters:
*
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