Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Text number (Phone-emergency use only) *

(###)

###

####

Neutered/Spayed? *

Yes

No

May we share your training & behavior report with your veterinarian?

Yes

No

I will provide a copy of proof of Rabies Vaccination by email or at the first session. *

If no please explain. Depending on your dogs history we might not work with your dog until Proof of current vacination is produced.

Yes

No

My dog came to me

Locally

Washington State

Moved with me to the area

Ground transport from another state

Plane

From another country

Check off which training methods you have tried with this dog *

Please check any method and equiptment use or you have tried, even if it was a while ago. We can discuss. This field is required to be checked for form to go thru.

Treats

Flat or Martingale Collar

Clicker

Spray Bottle

Harness

Dowell Rod to head

Gentle Leader or Head Collar

Choke Chain

E Collar (only beep or vibrate)

Pro Training Collar or Starmark collar

E collar - stim or shock

Flexi or Retractable leash

Prong Collar

Can with pennies or rocks

Bark Collar

Puppy Class

Slip Lead

Citronella Collar

Alpha Roll/holding dog down

Agility

Police / Protection Training

Schutzhund Training

Manners class

Electric fence

none of the above

Do you use a dog door?

No

Yes

Do you take your dog to the dog park?

yes

no

Please check off traits which apply to your dog

GROWLS

PUSHY

EXCESSIVE ENERGY

TOO ATTACHED TO ME

NOT GOOD WITH DOGS

SHY

BITES

DOMINANT

WON’T LISTEN TO ME

PULLS ON LEASH

CAUSED A PUNCTURE WOUND

FEARFUL

DESTRUCTIVE

AGGRESSIVE

NOT GOOD W/PEOPLE

BARKS AND LUNGES

URINE MARKS

Snaps, Punch with muzzle, Bites, Nips, Torn clothes *

NO my dog has not snapped, torn clothes, nipped or incurred a bite to a person or animal

YES my dog has snapped, torn clothes, nipped, muzzle punched or bitten a person or animal

Session choice

I am interested in (note: Homework is created specifically for you and your dog, it is sent via email and uses video)

$150 initial prepaid consultation

Training package that follows the consult. We are working on new packages.

We are not performing home visits unless we feel it is best for the dog. There is an additional travel fee.