JavaScript is required

Please enable JavaScript in your browser to continue.

COURTEOUS CANINE ENROLLMENT FORM

New clients must complete all questions.

Returning clients please complete your name, your dog's name, where you want to do the training, and any information that has changed since you last enrolled.

Please complete this form at least 24 hours prior to your initial consultation.

PLEASE NOTE: We have to say some legal stuff. Please bear with us. Completion of this form does not guarantee a spot in our program. We may have a waiting list, or we may believe it is best for you to be referred elsewhere. We reserve the right to refuse service.

WE DO NOT use the online booking app offered by Pocketsuite when you submit this form, so please do not download it for use with our services. We will book each session at the end of the previous session, or if you prefer, we will book them all out for you when you start your package.

Name:

Please fill out this field.

Which of our programs have you already completed?

Practically Perfect Puppy

Tail Waggin' Teens

Bark to Basics

None, but the trainer has approved our advancement to this program

Mobile Phone:

Please enter a phone number.

Do you prefer to come to us, or would you like for us to come to you?

I'd like to come to Rudy.

I'd like for you to come to my home. I have entered my home address below.

I'm not sure. Please help me decide.

Street Address:

Please fill out this field.

City:

Please fill out this field.

State:

Arkansas

Oklahoma

Email:

Please enter a valid email address.

Dog's name:

Please fill out this field.

Dog's Age:

6 Months to 1 Year

1 to 2 years

2 to 4 years

Above 4 years

Dog's breed (or best guess):

Please fill out this field.

Please fill out this field.

What sort of things would you like to be able to do with your dog?

Have a nice companion who stays at home.

Take my dog on errands and short outings.

Take my dog to the farmer's market or other crowded places.

Go hiking with my dog.

Go places where my dog can be off leash.

Do advanced obedience or sports with my dog.

Pass the Canine Good Citizen or other similar tests.

Travel with my dog.

Other (please specify below).

Please fill out this field.

Pet's neutering status:

Neutered

Not Neutered

Veterninarian's Name:

Please fill out this field.

Vet's number:

Please enter a phone number.

Date of last rabies shot:

Please fill out this field.

Does your dog have any previous training?

Yes

No

Known Behaviors

Sit

Down

Come when called

How to walk on a leash

How tosettle on a mat

Leave it

Drop item from mouth on command

Touch

Other (please describe below):

Please fill out this field.

Please fill out this field.

Has your dog ever bitten a person ?

Yes

No

Please fill out this field.

How did you hear about us?

Google

Other search engine

Facebook

Referral from friend

Referral from veterinarian

Referral from pet store

Referral from groomer