Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you currently use a crate? *

Yes (my dog sleeps in their crate & we regularly use)

No

Sometimes

Is your dog up to date on vaccines? *

Yes

No

Is your dog spayed/neutered? *

Yes, my dog is spayed/neutered.

No, my dog is still intact.

Are you open to balanced training? *

**if you are unsure what balanced training is, please reference my FAQs tab to learn more before proceeding*

Yes

No

Does your dog have a bite history? *

Yes

No

Would you be able to, if asked and depending on severity, be able to take away furniture privileges, use a crate, and provide at least 1 hour of exercise per day? Change with your dog requires change with your habits! *

Yes

No

I understand that training results are dependent on my commitment to consistency and practice. *

Yes