BARK TO BASICS ONLINE PROGRAM 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:*
Mobile Phone:*
Email:*
Dog's name:*
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):*
What are your dog's favorite things? (Treats, foods, toys, be as specific as possible)
Please list the things you love most about your dog.*
Please describe any concerns you have about your dog's behavior.
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).
If there's something you want to do with your dog that's not listed above, please describe it here:
Veterninarian's Name:*
Vet's 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):
Other known behaviors:
Are there specific behaviors you would like to work on ?
How did you hear about us?*
Google
Other search engine
Facebook
Referral from friend
Referral from veterinarian
Referral from pet store
Referral from groomer