Website URL*

Owner Name*

Email address*

Dog Name*

Breed*

Age of dog*

Has your dog had any previous training*

Yes

No

If yes, describe previous training and results

What behaviours would you like help with

Recall / Coming when called

Engagement and distraction training in public

Calming down, calm manners at home and outdoors

Socialisation

Loose-lead walking / Pulling

Jumping up on people

Reactivity towards dogs

Reactivity towards people

Excessive barking

Fear

Anxiety

Chewing / Destructive behaviours

Impulse control / Excitability

Other (describe below)

Other (please describe)

Does your dog have any aggressive tendencies towards humans or other dogs*

Yes

No

Has your dog ever bitten a person or dog*

Yes

No

What do you want your dog to achieve from this program

Is your dog currently under council investigation or declared dangerous*

Yes

No

Can you provide us with access without you at home if needed

Yes

No

Any mediaction, medical conditions, allergies or injuries we should know about

Do you have any specific concerns about handling your dog

Preferred days/times for the sessions

Monday

Tuesday

Wednesday

Thursday

Friday

Any special notes about access, home environment, or dog handling

Submit