Please complete the form below, and we will contact you by phone to learn more about your dog(s) and discuss the options for how we can help.

Thank you!

New Client Inquiry Form

Name

First Name

Last Name

Email Address

Phone

(###)

###

####

City, State

Dog's Name

Dog's Date of Birth (approx. if necessary)

Dog's Breed or Mix

How old was your dog when acquired? How long have they been in your home?

Sex:

Female

Spayed Female

Male

Neutered Male

Where did you get your dog?

What training/behavior issues are your having?

Please give as many details as possible

If you have specific behavior concerns, how long have you been dealing with these issues?

Does your dog need a court-ordered evaluation

Has your dog ever exhibited aggressive or threatening behavior toward a human?

Has your dog ever exhibited aggressive or threatening behavior toward other animals?

If you answered yes to either of the above questions, please provide specific details here:

Has your dog ever snapped, nipped or bitten a person or other animal?

If yes, please provide specific details here:

How many times and to whom they were inflicted. Provide any details of the incident(s) as to what may have caused it, how severe was the bite(s), was medical attention needed and was the bite(s) reported?

What is your dog's previous training history?

Please provide details on tools and techniques you have tried?

Who is your dog's Vet?

Is your dog current on vaccinations?

Proof may be required

Please list any medications or supplements your dog is on:

How many people does your dog live with?

Please list each individual and provide age

How many pets does your dog live with?

Please list species and age

Where did you hear about us?

New Client Inquiry Form

Contact Us: