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Email
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First name
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Last name
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Phone number
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Street address
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City
State/Region
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Postal code
How Did You Hear About Us
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Google
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Services
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Board & Train
Behavioral Consulation
Obedience Training
Behavior Rehabilitation
One on One In Home Training
Puppy Training
Structured Dog Walks
Dog's Name
Breed
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Sex
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Male
Female
Age of Dog
Dog's Birthday
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Month
/
Day
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Year
Veterinarian Hospital/Office
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Veterinarian's Phone Number
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How many times a day do you feed your dog, how much and at what times?
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Brand Of Dog Food
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Type of Dog Food
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Shots Up To Date
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YES
NO
APPOINTMENT SCHEDULED
Please check off any of the problems listed below you're having with your dog:
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Is not housebroken
Is overactive and doesn't settle down easily
Jumps on people
Is aggressive towards dogs
Is a nuisance barker or whiner
Urinates when excited/afraid
Play bites
Destructive Chewing
Bolts through open doors
Separation Anxiety
Jumps on furniture they shouldn't
Guards toys, food or space
Pulls on leash
Digs in yard
Has bitten someone
Growls at people
Growls at other dogs
Do You Live In a...
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Multi-level House
Ranch House
Apartment
Townhouse
Fenced In Yard?
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What are your training goals and what would you like to accomplish by having your dog trained by us?
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Does Your Dog Interact Well With Others
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Please Select
Yes
No
Most The Time
Message - Please tell us more about why you are contacting us for training or consultation.
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