Family Paws Consulting Registration

Please complete this form to the best of your ability. The more information we have, the better we may better assist you.

Your full name *
Your full name
Partner's full name (optional)
Partner's full name (optional)
Phone *
Phone
(555-555-5555)
Are you expecting? (pregnant or adopting)
Are you expecting? (pregnant or adopting)
Please give the approximate due date:
Dog's date of birth *
Dog's date of birth
If unknown, please estimate
If unknown, please guess
(shelter, breeder, other?)
Oftentimes this is necessary and this step saves us time - you can revoke access at any time.
Please be as detailed as possible...include "nips" and attempts as well as actual bites.
Bruising, broken skin, lacerations, tears, stitches, medical treatment?
Does your dog have a notice from Animal Control or Public Health? *
Choose all that apply
Please be as detailed as possible...include schools / trainers and methods/tools used.
This is where we require a detailed response! State any training goals that you might have.