Your Name
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First Name
Last Name
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email Address
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Cell Phone
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(###)
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Home Phone
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(###)
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Who may we thank for referring you?
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Do you have any limitations (physical or other) that we should know about in order to better assist you?
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Please tell us about the members of your household and who will be participating in training.
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Dog's Name
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Sex
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Please tell us about the companion animals in your home.
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This will help us better understand your situation, enabling us to help you more effectively.
Why did you choose this particular dog?
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Please tell us about your concerns and the problems you are experiencing.
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This is a great place to share or vent everything you would like Jen to know about your dog, behavior problems, training or anything else that may be helpful.
Please list your training expectations and goals in order of importance.
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This is everything that is important to you and your family, everything that you would like to accomplish short term and long term.
Please list the trainers you have worked with, including what you liked or didn't like about your experience.
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This will help Jen create a better experience for you.
Describe your walks together; what type of collar and leash do you use?
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Please elborate.
Does your dog have friends to play with off leash? How does your dog react to other animals?
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Please elaborate and include if you frequent places like dog parks, dog beaches and dog daycares. This information is very helpful for your training program.
Does your dog have any fears or phobias?
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Ex: People approaching you, your home, yard or out on a walk. Fireworks, thunder, trash trucks, toasters, bath, toe nail trims and ear cleaning, etc. Please elaborate.
Has your dog ever growled, snapped, lunged or bit a person or animal over food, toys, objects, space or affection, demonstrated guarding or possessive behavior for any reason?
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If Yes, please describe each incident in detail. Withholding information on this subject could put others in danger. Please include details regarding punctures, drawn blood, sutures, and quarantines.
Please list all Medical Issues, Injuries, Allergies (or other) your dog has experienced or suffers from:
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Please indicate current Vaccine, Pest and Parasite protocols:
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Please check all that apply.
Feeding your dog a biological species appropriate diet is just as important as feeding yourself nutritious meals. Just like us, dogs are what they eat and just like us, they can't focus or learn while eating food that wasn't designed for them. Jen will set up your FREE discovery consult during registration.
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Please check all that apply.
The training program I'm interested in is:
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Please check all that interest you.
These classes also seem fun:
We love spending time with our companions; please check all that interest you.
What questions do you have for Jen?
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In order to help you more efficiently, please list your questions here. Please offer three day / time periods you are available for a phone chat and Jen will aim to confirm and call you with the answers you've been looking for.
Are you ready to develop a more meaningful relationship with your companion all while learning how much fun training and obedience can be? Please check all that apply so we know you are ready to hear from us and take the first step to creating a Super Dog!
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