Name
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First Name
Last Name
Phone
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(###)
###
####
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Which program are you applying for?
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5-lesson package (prong only)
6-lesson package (includes e-collar)
I'm not sure—let's discuss
Dog's name
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Dog's age
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Dog's breed/mix of breeds
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Dog's sex
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Female
Male
Is your dog spayed/neutered? (Dogs do not need to be spayed/neutered for private lessons.)
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Yes
No
Does your dog have any medical issues that I should be aware of?
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How long have you had your dog?
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Where did you get your dog?
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Do you have any other pets? If so, please tell me the species, age, and how your dog does with them.
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Is your dog crate trained? Why or why not?
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Has your dog had any formal training? If so, explain to include what tools (martingale, choke chain, gentle leader, harness, e-collar, prong, treats) were used and whether or not you found it effective.
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What are some of the not-so-awesome things your dog does? Please be specific.
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Has your dog ever bitten another dog? If so, please tell me the details of the incident(s).
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Has your dog ever bitten a person? If so, please tell me the details of the incident(s).
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What are your top 3 training goals? (What do you hope your dog can do/improve on after training with me?)
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How did you hear about me?
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