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Dog Training Intake Form

Name:

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Phone:

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Email:

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Address:

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How did you hear about our services?

Veterinarian

Groomer

Family/Friend

Ad/Flyer

Google Search

Other

*Market Research* What do you do for a living?

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Dogs Name:

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Dogs Breed:

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Dogs Age:

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What is your dog's sex?

Female - Intact

Female - Spayed

Male - Intact

Male - Neutered

Where did you obtain this dog?

Rescue

Breeder

Family/Friend Rehoming

Stray

Other

Why did you get this dog?

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How long have you owned this dog?

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List all training tools you are willing to use

treats/food

toys

crate

body harness

head harness (gentle leader)

pinch/prong collar

e-collar

pet corrector spray

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Are you interested in learning about our pet nutrition assessment and coaching services?

Yes

Are you interested in learning more about our financial assistance?

Sliding Scale Program

Interest Free Payment Plans

Community Care Credits