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*Please note that there may be a trip charge if you are located over 15 miles from our location.
Dog's Name:
Breed of dog:
Sex of dog: MaleFemale
Is your dog fixed?: YesNo
Age of dog:
Does your dog have any health issues?: YesNo
If YES, please explain:
Are there other dogs in the home?YesNo
If Yes, How many?
Major Complaints about your dog: DiggingChewingBarkingBolting out the doorRunning awayJumping on people/thingsToo much energyHousebreakingChasing things
Does your dog have aggression issues? YesNo
If Yes, is your dogs aggressive towards: HumansDogsHumans & DogsKidsOther animals (excluding dogs)
If YES, Has your dog bit? YesNo
If your dog has bit, please explain the situation:
Please check your areas of interest: Puppy TrainingPrivate LessonsBoard and TrainSocialization Class
What are your goals for you and your dog?:
I would like to schedule an evaluation with my dog.
How did you find us?
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