Name *

First Name

Last Name

Phone *

(###)

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What type of home do you live in? *

Single Family Home

Apartment

Duplex

Condo

Which program are you interested in? *

Phone Consultation

1-on-1 Private Session(s)

Board & Train

Structured Boarding

WE REQUIRE EVERY DOG WHO TRAINS WITH US TO HAVE VACCINATION RECORDS. By checking this, you confirm that your dog is up-to-date on the following vaccinations: Rabies, Bordatella, Distemper, Fecal Float (to test for parasites): *

If your dog's vaccination is not up-to-date, please make sure that they are vaccinated prior to signing up for a program.

Yes

No

Please check all behaviors that apply to your dog: *

Not housebroken

Does not allow us to do their nails

Has to be muzzled at the vet

Does not do well with grooming

Whines and barks in crate/kennel

Overactive/Hyper

Mounts objects/people

Play bites

Chews destructively

Digs in yard

Very shy

Jumps on people

Aggressive towards dogs

Growls at people

Nuisance barker/whiner

Urinates when excited/scared

Guards toys/food/space/people

Sniffs or eats from countertops

Doesn't come when called

Bolts through open doors

Stresses easily

Pulls on leash

Jumps on furniture

Has separation anxiety

Has bitten an animal/human

Chases kids

Which of the following your dog is motivated by? Check all that apply. *

Praise

Food/Treats

Play

Affection

Other Motivators

I am familiar with Canine Chris' training methods (Prong Collars, Slip Leads, E-Collars, etc.), techniques, programs, and prices. If not, please be sure to check out our Services page. *

Yes

No

How did you hear about Canine Chris Dog Training?

Friend/Family

Instagram

Facebook

Web Search

Other