New ClientNew Client RegistrationPlease enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone Number: *Street Address:Town:Zip:Please list all members of your household (include the ages of any children under the age of 18)Please List All Pets in Household With Breed and Age:Is This Your First Dog?YesNoWhat training experience have you had prior to this (Group Class/Private Training)? *What training methods and/or tools have you used in the past, if any? (clicker/prong collar/e-collar/harness etc): *How did you hear about us?Google SearchFacebookCustomer ReferralOtherDog's Name:BreedCurrent Age:Age acquired: Where did you get your dog from? (breeder/shelter/rescue):Approx Date of Last Vet Visit:UTD on vaccinations? YesNoNeutered/Spayed?YesNoDoes your dog have any allergies?Does your dog have any health concerns? Please list any medications or supplements your dog is currently taking:Has your dog ever been treated for injury/illness in the past? Has your dog displayed any signs of food aggression/resource guarding towards people and/or dogs? Has your dog bitten anyone?YesNoIf you answered yes, was medical care needed?If you answered yes, was animal control involved?If you answered yes, please describe the incident in as much detail as possible: Are you booking a behavior modification session? YesNoPlease list and describe all behavior concerns:If you are booking a behavior modification appointment, please include some information about the most recent incident that has occurred: If this is a behavior modification appointment, please include information about the first incident that occurred:If this is a behavior modification appointment, please include information about the worst incident that has occurred: If your dog was adopted, please include any information you have about their history. Were they found as a stray? Surrendered? Were they fostered, or did they stay in a shelter environment? How long were they in the shelter? Etc. What training experience has this dog had in the past, if any? What training methods and/or tools were used? What cues/behaviors does your dog know already reliably (can be performed under distractions and in new environments)? (Sit/Down/Stay/Come/Go To Place etc)What cues/behaviors does your dog know moderately well (can be performed in familiar environments under low distraction)? What are your training goals? What do you hope to achieve/gain from your training session(s)? CommentSubmit