Contact Form for Dog Services

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Contact Form for Dog Services

Please fill out this form below. Click Submit at the end. It will confirm submission.
If you have any issues, it is because you missed answering a field which is required.

* Indicates required field

How did you hear about us? *

Contact Info

Owner Name *

First

Last

Emergency Contact (Local) *

First

Last

Mobile # w/Text *

Hometown *

Email *

Phone Number *

Relationship to you *

Dog Info

Name of Dog *

Breed or Mix Type *

Yrs own *

Neuter/Spay Status *

Age *

< 8 months old 9 months- 1 year 1- 2.5 years 2.5 - 8 years 8 - 10 years 10-12 years Over 12 years

Size *

Under 10 pounds 11-20 pounds 21-35 pounds 36-45 Pounds over 45 Pounds

Dog Facts: *

is a rescue. has high exercise needs. is very anxious. can be aggressive at times. is pretty laid back. 1st dog I ever owned. is very reactive.

Behaviors needing more training. Note: Some may need additional time to address.

On Leash *

Pulling Chasing Lunging No Heel- Not with you No Sit/Wait No Leave It No Down

Off Leash *

Begging Stealing Bolting out door Jumping Up Not Coming Not Staying Jumps out of car

Anxiety *

Barking w/o stopping Whining/Howling Zoomies- Runs like crazy When left alone During Car Rides When Confined Guards front door

Mouthing or Possessiveness *

Picking up things Growling Nipping Destroys Toys Dislikes Grooming Hates nails to be cut

House-breaking *

Takes a long time outside Goes #2 inside instead Goes #1 inside instead

Other Training Issues *

Vet Info

Name of your Vet and Phone # *

Month/Year when Last Visited Vet *

My dog is up to date on: *

DHLP Booster Rabies Fecal Exam

Please describe flea prevention plan- product and last application. Note: Trainer is allergic to fleas. *

Comment on any medical issues- past or present. For your dog's safety only to care for dog properly. *

1)VIP Boarding

2) Owner Training Program

Date and Time of Expected Drop-off *

Date and Time of Expected Pickup *

Note: No Sat/Sun drop off and Sat/Sun pickup in Spring and Fall.
If you have not been here before, please come for a visit so we can determine your dog's needs.

Day of the Week Available *

Times Available *

When would you like to start *

Submit