NEW CLIENT FORM

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mobile Phone *

(###)

###

####

Home Phone *

(###)

###

####

Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone Number *

(###)

###

####

Have you and this dog ever worked with a trainer before? *

Yes

No

Have you worked with us in the past with previous dogs? *

Yes

No

What type of training program interests you ?

Private Training

Boarding

Enrichment Camp-Daycare

Board & Train

Day School

Puppy Preschool or Obedience Foundations Group Classes

Please describe your home environment *

Single standing house with a yard and a fence

Single standing house with a yard and no fence

Half a double with a yard and a fence

Half a double with a yard and no fence

Apartment with a yard

Apartment with no yard

Other (please specify)

Do you have any other animals? *

Yes

No

Dog Sex *

Male

Female

Is your dog... *

Spayed

Neutered

Intact

Veterinarian Name *

First Name

Last Name

Veterinarian Phone Number *

(###)

###

####

Do you currently crate your dog? *

Yes

No

Has your dog ever bitten anyone? *

Yes

No

Please check any behaviors that apply to your dog: *

Door Bolting

Chewing

Jumping

Car Sickness

Counter Surfing

Begging

Play Biting

Digging

Excited Piddle

Excessive Barking

Eating Bowel Movements

Door Scratching

Trash Diving

Litter Box Diving

Cat Aggression

Marking

Mounting

None of the above

I will check my spam folder if I have not recieved a response via email within 2 business days *

Yes I will