New client registration form
First and Last Name:*
Address:*
City:*
State:*
ZIP:*
Phone :*
Email:*
Emergency contact name:*
Emergency contact phone:*
Relationship to you (emergency contact):*
Dog's name:*
Dog's breed:*
Dog's Age*
Pet's Altered Status:*
Neutered
Not Neutered
Spayed
Not Spayed
Who is your primary veterinarian and where are they located?*
Rabies vaccination up to date?:*
Yes
No
How did you hear about Lucid K9 Training?*
Any previous training or known commands?*
Any previous or current behavorial issues?*
What are your goals with training?*
What training service are you interested in?*
Puppy Private Lesson Program
Basic Private Lesson Program
Board and Train
Behavior Modification Program
Advanced Private Lesson Program
Unsure
Training Budget*
$100-$500
$500-$1000
$2000-$4000
$4000+
Preferred method of contact *
Phone call
Text message
Email