Dog Training Enrollment

Jessica Paws

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Step 1 of 3: Application for Enrollment

Dog Training Enrollment Form

*Please note, your dog will not be officially enrolled until full payment or deposit is received.

* Indicates required field

Owner's Name *

First

Last

Email *

How did you hear about us? *

Which Class Are You Enrolling In? *

Private Training @ My Home To Be Decided With Trainer

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Tell Us About Your Dog

Dog's Name *

Age *

Gender *

Primary Breed *

Is Your Dog Spayed/Neutered? *

Secondary Breed (if applicable) *

Are your dog's vaccines up to date? *

Your Dog's Veterinarian *

Where did you get your dog from? *

Veterinarian's Phone # *

How old was your dog when you got them? *

How long have you had your dog now? *

Has your dog had any previous training? *

Other people in household? *

Name(s) and Age(s)

Other pets in household? *

List species, breed, gender and age.

Primary Training Concerns *

Basic Obedience Puppy Training Potty Training Crate Training Doesn't Listen Leash Pulling Shy/Fearful/Anxious Jumps Up Excessive Barking Digging/Chewing Hyperactive Leash Reactivity Protective Territory/Resource Guarding

Has your dog exhibited any of the following? *

Human Aggression Dog Aggression Small Animal Chasing/Aggression Growling Aggressive Barking/Posturing Snarling Air Snapping Nip (without breaking skin) Bite (with bruising or breaking skin) Serious Bite (punctures skin) Multiple Small Bites at Once Bite and Hold and/or Shake Killed Another Animal NONE

What are your training goals? *

Is there anything else you would like us to know? *

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Home
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