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TAIL WAGGIN' TEENS ONLINE ENROLLMENT FORM

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:

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Mobile Phone:

Please enter a phone number.

Email:

Please enter a valid email address.

Dog's name:

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Dog's Age:

6 Months to 1 Year

1 Year to 18 Months

18 Months to 2 Years

Dog's breed (or best guess):

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What are your dog's favorite things? (Treats, foods, toys, be as specific as possible)

Please fill out this field.

Please fill out this field.

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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).

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Veterninarian's Name:

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Vet's number:

Please enter a phone number.

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):

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How did you hear about us?

Google

Other search engine

Facebook

Referral from friend

Referral from veterinarian

Referral from pet store

Referral from groomer