Please complete the form below

Provide as much detail as possible

If there is more than one family dog involved or more than one dog you want to work with, you must complete a separate form for each dog.

Name *
Spouse/partner *
Cell phone number *
Cell phone number
Address *
Your Dog's General Information
Gender *
Spayed/Neutered? *
What days of the week would you prefer to schedule your lessons? *
I see clients in the mornings and evenings. What time of day would you prefer to schedule your lessons? *
Background and history
Did you get your dog from a breeder? *
If no, skip to lifestyle section
Was your puppy shipped to you? *
If no, skip to lifestyle section
Your dog's lifestyle
If there are conflicts between your dogs you must fill out a form for each dog.
Please check what type of home you live in. *
Purina, Blue Buffalo, Iams, Science diet, etc.
Dry, canned, raw, home-cooked, etc.
Is your dog crate trained? *
Does your dog use a dog door? *
Do you have a fenced yard? *
Do you use an electric fence? *
Your dog's Medical And Health Information
Training And Behavior
Organization name, trainers' name
What was the training like, what methods and tools were used
Your Dog Vs. Other Dogs (Skip if you are not seeking help for a dog vs dog related issue)
Excluding dogs he/she lives with
Checkbox *
Please check all the equipment you use with your dog
Your Dog Vs. Humans