New Consultation Request
Completing this form will place you on the current waiting list.

As soon as availability opens up, Emily will be in contact with you to schedule an in-person consultation.

If you live outside of our service area, you may not hear back from us unless you indicate an interest in remote coaching.
Your Full Name*
Mobile phone*
Email*
City*
State*
If you're outside of our service area, are you interested in remote coaching?
Yes
No
What is your dog's name?*
What is the reason you are seeking a consultation for your dog? (brief summary, we will collect more details later)*
On a scale of 1 to 5 how urgent does this problem feel to you?*
My situation is urgent and I'm interested in an Emergency Coaching Call
Check the box if true