Owner Name*

Email address*

Dog Name*

Breed*

Age of dog*

Has your dog had any previous training*

Yes

No

If yes, describe previous training and results

What behaviours would you like help with

Recall / Coming when called

Engagement and distraction training in public

Calming down, calm manners at home and outdoors

Socialisation

Loose-lead walking / Pulling

Jumping up on people

Reactivity towards dogs

Reactivity towards people

Excessive barking

Fear

Anxiety

Chewing / Destructive behaviours

Impulse control / Excitability

Other (describe below)

Other (please describe)

Does your dog have any aggressive tendencies towards humans or other dogs*

Yes

No

Has your dog ever bitten a person or dog*

Yes

No

What do you want your dog to achieve from this program

Is your dog currently under council investigation or declared dangerous*

Yes

No

Can you provide us with access without you at home if needed

Yes

No

Company Name*

Any mediaction, medical conditions, allergies or injuries we should know about

Do you have any specific concerns about handling your dog

Preferred days/times for the sessions

Monday

Tuesday

Wednesday

Thursday

Friday

Any special notes about access, home environment, or dog handling

Submit