First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone

Cell Phone*

Alt Email*

Please provide the age, sex (male, male/neutered, female, female spayed) breed, if known, and size (weight) of your pet.*

Does your pet have any known health concerns, illnesses or injuries currently, or had any in the past that may be causing them stress or pain, or prevent them from participating in training sessions? If so, please provide as much information as possible about your pet's condition, and VET REFERENCE (name and phone number of the vet that treated your pet for their health issue).*

What commands does your pet already know, and how quickly does your pet respond to your instruction (do you have to repeat a few times, offer a treat, do they respond on the first try)?*

What are some things that your pet does very well, or has a strong interest in (i.e. if they are very friendly when meeting new people, if they play well with other dogs, if they are very focused on certain things)?

Please describe the training methods that you have tried, and if you have consulted with other trainers or your veterinarian, and what has been helpful and unhelpful in modifying your pet's behavior.

Please describe the behavioral issues you are concerned about, providing details such as how often the behavior occurs, if behaviors occur at certain times or during certain activities. Please also include how you react to your pet's problem behavior, and how they respond when told they are doing something wrong.

Was the pet you are having training issues with adopted from our program?*
Choose one: Yes No

How did you hear about us?