Private Lesson Form

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First & Last Name

Best Phone for contact? (please double check correct entry)

Dog's Name or names. Please provide, for each dog in home, name, breed(s), age, how long you've had them, where'd they come from, are they spayed/neutered, any other information you think might be relevant.

Would you prefer to meet via Zoom, or by phone? In-person lessons are location-dependent, and cost $150. On-line lessons are conducted via Zoom, and cost $100. Lessons usually last 60-90 minutes.

How may I help?

physical address

Vet facility name

Has your dog ever, as far as you know, caused damage to another dog by biting? If so, please provide as many details as possible.

Has your dog ever, as far as you know, hurt a human by biting? If so, please give as many details as possible:

Have you been to any dog training classes with this dog? If so, where, and what kind of class?

Please describe weekly exercise (1 walk most days, or daily hikes, or puzzle feeders and swimming, or?)

Where does the dog sleep at night?

What does the dog eat for meals, where are meals consumed, and how long do they take to finish?

I will be paying by(required)

Credit or debit via online invoice. Pre-paid gift.

We often post pictures and/or videos of dog on our social media accounts. May we share images of your dog?

People studying to be trainers benefit from observing private lessons. If a students is looking to observe lessons, is that all right with you?

Were you referred to me? If so by whom (so I may thank them)? If not, how did you find me?

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