Courteous Canine Enrollment Form
Please complete the following questions to be enrolled in our training program. Someone will reach out to you to schedule your first visit. We look forward to working with you and your dog!

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.
Your Name (first and last)*
Phone Number*
May we text you on this number? *
Yes
No
Email*
Which do you prefer?
We come to you
You come to us in Rudy, Arkansas
We meet remotely online
Address*
City, Sate and Zip Code*
Your Dog's Name*
Dog's Breed (best guess for mixed)*
Dog's Age (approximate)*
Our private training is done in the evenings. Which weeknights are you available?*
Monday
Tuesday
Wednesday
Thursday
Friday
I am not available during the week but would like to discuss scheduling another time.
Where did you hear about us?
Friend or family member
Veterinarian
Referred by another trainer
Google Search
Another type if internet search
Social Media
Other (please specify below)
If you said "Other" please elaborate below, or if you would like to tell us the name of the person or practice that sent you to us, please enter it here.
Do you have any specific questions for us?
Please tell us a little about what you would like to accomplish with your dog.