Contact - Dogs In Balance

Name

Address

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

Emergency Contact Name (if you are traveling or unavailable)

Emergency Contact Number

Dog's Name

Dog's Breed, Age, Sex and Weight

Select desired service

Walk Dog-tor
One-on-One at your home
Doggie Boot Camp
3 week Intensive Training
E-Collar Training, Jump Start

Is your dog spayed/neutered?

Yes
No

Is your dog house trained?

Yes
No

Has your dog ever been in a dog fight?

Yes
No

Does your dog ever growl,lunge or bark at other dogs, humans or children?

Yes
No

Has your dog ever bitten another dog, human or child?

Yes
No

Does your dog let you groom him/her or let you trim his/her nails?

Yes
No

Does your dog let you put on, take off collars?

Yes
No

Does your dog go into a crate?

Yes
No

Does your dog bark or growl in the crate?

Yes
No

Does your dog have accidents in the crate?

Yes
No

Does your dog react negatively to touching/petting?

Yes
No

Does your dog have separation anxiety?

Yes
No

Is your dog aggressive when people try to take his/her food?

Yes
No

Is your dog aggressive when people try to take his/her toy away?

Yes
No

Does your dog growl when you try to move him/her off the furniture?

Yes
No

Has your dog injured or killed small animals or have high prey drive?

Yes
No

Additional Info

Anything to add about your dog's behaviors? If you dog exhibits any aggressive behavior, please provide details regarding his/her behavior.

What are your training expectations?

Dogs in Balance Philosophies, Tools and Methods Please read our FAQ's for more info.

Please enter your name to agree with the following statement.*

I am familiar with DOGS IN BALANCE'S, philosophies, tools and methods of dog training.

Phone

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Call 707-953-3015

email Patte@dogsinbalance.net

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