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Intake Form

Intake form for all new clients who purchase one on one lessons. 

Click the button below to start.

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Question 1 of 5

Owner Name:

 

 

Phone Number (cell):

 

 

Email Address:

 

 

Home Address:

 

Question 2 of 5

Pet Info

 

Name:

 

Age:

 

Breed/Mix: 

 

Has your dog been spayed or neutered? If Yes- at what age? 

Question 3 of 5

Where was your dog purchased/adopted from? 

 

Have you had training services before in the home? If so, from where?:

 

How did you hear of us?

 

Question 4 of 5

Please provide us with as much information as possible in the following questions 

What behavioural Issues are you currently experiencing in your home?


Please describe in detail the behaviour(s) your dog exhibits and what the typical response is in the home to the behaviour.

What is your dogs typical routine?


How is your dog fed?

Question 5 of 5

Please Provide us with as much information as possible in the following questions 

Has your dog ever bitten anyone in the past? If yes, please describe the incident in detail below:

 


What are your 3 main goals to acheive through these lessons?
1.
2.
3.

 

 

 

 

 

 

 

 

Confirm and Submit