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?
*
PawFection (walk-in)
West Coast Grooming Academy
Lawndale Pet Hospital
Jessica Paws Website
I'm a previous training client
Friend/Family Member Referral
Facebook
Instagram
Yelp
Other
Which Class Are You Enrolling In?
*
Boot Camp: Jan 23rd @7:00 PM
Private Training @ Our Facility
To Be Decided With Trainer
Phone Number
*
May we add you to our mailing list?
*
Yes
No
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Tell Us About Your Dog
Dog's Name
*
Age
*
Gender
*
Male
Female
Primary Breed
*
Is Your Dog Spayed/Neutered?
*
Yes
No, and I do not plan to get my dog fixed.
No, but will be soon.
Secondary Breed (if applicable)
*
Are your dog's vaccines up to date?
*
Yes
No
No, but they will be updated before class starts
Your Dog's Veterinarian
*
Where did you get your dog from?
*
Animal Shelter
Private Rescue
Found as a Stray
Given by Friend/Family Member
Bought From a Breeder
Other
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?
*
Continue to Page 2
Home
Pet Services
Learn to Groom Pets
Cat Grooming
>
Cat Grooming Services
Why Groom Cats
Grooming FAQ
Request An Appointment
About Me
Blog
Store
Contact