Name
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First Name
Last Name
Email
*
Phone
*
(###)
###
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Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
How did you hear about us?
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If other, please briefly explain.
How many adults live in household?
*
How many kids in household? Age?
*
Dogs Name
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Breed, Age, Sex, & Weight
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Dog's origin
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If other, provide explanation.
Is the dog altered?
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Spay or neutered
How long has the dog been with you?
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If the dog has not been with you since a puppy, please provide any known background.
Veterinary Name
*
Veterinary Phone
*
(###)
###
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Why are you seeking training for your dog?
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Has your dog had prior training?
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If yes, please explain.
Is your dog crate trained?
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Calm and quiet while in crate or kennel
Has your dog ever bitten a person or other dog?
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Do you have anything to add about your dog's behaviors? If your dog exhibits any aggressive behavior, please explain these behaviors.
Please check all that apply to your dog.
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Have you tried to stop any of these behaviors? How?
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What commands does your dog follow at least 90% of the time?
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I am aware that training is continues for the life of the dog. Training with Kelsey's Canine Academy is a headstart for me and my dog to build a lasting relationship. I understand the Dog training is a lifestyle, not a quick fix and I understand that it is a team effort. I will embrace the changes needed to be made at home for my dog and I to be successful, long term.
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Which class would you like to join?
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Thank you for your registration form, once I review it, I will send out a contract and invoice. After I receive them back, your spot in class will be reserved. Please reach out with any questions or concerns!
