Owner's Name
*
First Name
Last Name
Spouse/Partner's Name
First Name
Last Name
Dog's Name
*
Dog's Breed
*
Sex
*
Dog's Age
*
Email
*
Phone
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Which training program are you interested in?
*
Is your dog:
*
Dog's Weight
*
Color
*
Your Veterinarian Phone #
*
(###)
###
####
Does your dog need to be muzzled at the vet?
*
Please check all behaviors that apply to your dog:
*
Please describe in more detail the boxes you checked.
How is your dog with other dogs?
*
Click all that apply:
Is your dog potty trained?
*
Please provide details of their potty schedule..
How many times a week do you train your dog?
*
What are your dog's most undesirable behaviors?
*
Has there been any recent changes in frequency/severity of these behaviors?
*
I understand my dog has to be crate trained before arriving.
*
If they can't be calm, quiet, and napping in the crate (after the short adjustment period) then they will be sent home until they are properly crate conditioned.
Please check all the training equipment that you use:
*
What type of home do you live in?
*
Where is your dog kept while you are out of the house?
*
How does your dog behave in the car?
*
Training History
*
Select all that apply:
Are you familiar with Companion Canine's training methods, techniques and programs?
*
Do you understand that depending on your dog, we may suggest the purchase of tools such as a prong collar, slip leash, e-collar, place bed, crate, etc? (Don't worry Companion Canine LLC will thoroughly educate you on any tools we recommend!).
Have you read over our website program descriptions and FAQs page?
*
Do you understand that you must continue the training at home after the B&T program to ensure your success?
*
Any additional comments please let us know here:
