Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Gender *

Male

Female

May I share your training or behavioral information with your vet? *

Yes

No

Does your dog have any medical conditions? *

Yes

No

Does your dog take any medication? *

Yes

No

Has your dog ever bitten another dog or animal? *

Yes

No

Has your dog ever bitten a human? *

Yes

No

I understand that training packages are non-refundable. *

I understand that safety is the top priority and, only if necessary, the scheduled service may be ended at any time if there is a danger to you, your pet, the trainer, or another animal/person. *