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Name

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Phone number

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Email address

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City

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Zipcode

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Dog name

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Sex

Male

Male Neutered

Female

Female Spayed

Breed

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Dog Date of Birth

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Has your dog ever done any of the following to anyone (human or animal)? Check all that apply

Growled

Snapped

Bitten

Lunged

Behaved aggressively

Bruised, scratched, nicked, or injured anyone (human or animal)

My dog has NOT done any of the behaviors listed

Has your dog ever been quarantined or involved with animal control for any reason?

Yes

How did you hear about Serenity Dog Training? Who can I thank?

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How do you prefer to be contacted?

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Either

Do you have preferred pronouns?

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