Human's Name *

First Name

Last Name

Phone *

(###)

###

####

Dog(s) gender *

Male

Female

What programs are you interested in? *

3 Week Advanced Stay and Train

4 Week Basic Obedience Stay and Train

5 Week Reactive Stay and Train

6 Week Off Leash Stay and Train

Private Lessons (at your home) 3, 6 or 9

Boarding

18 Day Positive Puppy Stay and Train

**LIMITED TIME** 2 Week Board and Train

Check all that apply *

Does not respect human boundaries

Does not respect other dogs boundaries

Does not sit when asked (the first time)

Does not down when asked (the first time)

Does not stay when asked (the first time)

Does not "place" when asked (the first time)

Can not heel on leash

Does not come back when called (off leash)

Barks at strangers (non agressive)

Barks at strangers (aggressively)

Barks at other dogs (wants to play)

Barks at dogs (aggressively)

Has bitten a human

Jumps on counters

Jumps on guests

Has been attacked by a dog

Has bitten dog

Has anxiety

Submissive urinates