Client Information Form

First Name *

Last Name *

Phone *

Email *

Address *

City *

State *

Postal code *

Tell us about your dog

Dog's Name *

Breed *

Dog Age *

Gender *

Male - Intact
Male - Neutered
Female - Intact
Female - Spayed
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Previous Trainer(s)

How did you hear about us? *

History of Aggresive Behaviors

Aggressive towards dogs (and/or other animals)

Aggressive towards people

Agressive towards dogs (and/or other animals) and people

No aggressive behaviors

Aggression/Reactivity Details

Bite History *

My dog has bitten humans

My dog has bitten dogs or other animals

My dog has bitten humans and dogs/other animals

My dog has NOT bitten humans or animals

Bite History Details

What Obedience or Skills Does Your Dog Know Well? *

Training Goals for Your Dog *

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