Behaviour Modification Registration Form

Your full name *
Your full name
Partner's full name (optional)
Partner's full name (optional)
Phone *
Phone
(555-555-5555)
Dog's date of birth *
Dog's date of birth
If unknown, please estimate
(shelter, breeder, other?)
If unknown, please guess
Oftentimes this is necessary and this step saves us time - you can revoke access at any time.
Please be as detailed as possible...
Please be as detailed as possible...include "nips" and attempts as well as actual bites.
Bruising, broken skin, lacerations, tears, stitches, medical treatment?
Please be as detailed as possible.
Warning: do not attempt this in order to be able to answer this question!
Please be as detailed as possible...include "nips" and attempts as well as actual bites.
Bruising, broken skin, lacerations, tears, stitches, medical treatment?
This might include barking, lunging, snarling, attempting to bite, or biting.
Does your dog have a notice from Animal Control? *
Choose all that apply
Check all that apply (some behavioural challenges may require in-school for safety reasons):
What times are you available? *
Check all that apply - oftentimes we book a few weeks in advance for high demand times (evenings/weekends). We ask that our clients are flexible and reply promptly to offered appointment times so that we can help you as best as we can, as soon as we can.