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Client Intake Form

Name:

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Referred by:

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Email:

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Phone:

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Address:

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City, State, Zip:

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Preferred method of contact (check one):

Phone

Text

Dog Name:

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Date of Birth:

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Breed:

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Weight/Size:

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Spay/Neuter:

Yes

Gender:

Male

Female

How long have you owned the dog:

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What training has your dog had (choose all that apply):

None

Self Trained

Attended Group Class

Private Training

Correction techniques used (choose all that apply):

Treats

Leash Correction

Verbal Scolding

Noisemaker

Water Spray

Prong Collar

Bitter Apple Spray

E Collar Vibrate or Beep or Shock

Other

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What type of training are you interested in?

Private

Group Class

If interested in Private Training what is your availability?

Daytime

Evening

Weekend

If interested in Private Training where would you like training?

Home

Studio

Other

No Preference

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