To Request a Call Back or Appointment:

I am interested in:

In-Home Behavior Counseling
In-Home Basic Obedience
Conformation Classes
Telephone Consultation
Group Classes

If behavior counseling, please check all MINOR behavior issues that you suspect your pet may have:

Attention-Seeking Behaviors
Barking
Biting and Mouthing
Bolting Through Gates and Doors
Counter-Surfing
Crate-Training
Digging
Fence Jumping
Housebreaking
Hyperactivity
Jumping
Puppies - Starting Off on the Right Paw
Small Dog Issues

Please check all MAJOR behavior issues that you suspect your pet may have:

  Aggression (Any type)
Anxiety/Fears/Phobias (Any type)
Compulsive/Repetitive Behaviors
Coprophagia/pica (Eating inappropriate/nonnutritive objects)
Destructiveness (Any type)
Excessive Grooming
Hyperactivity - Severe
Hyperesthesia (Hyper-Sensitive to Touch, Pain or other Stimuli)
Incontinence/Elimination issues
Predation (Chasing Cars or Critters)
Run-Aways/Does Not Come When Called
Separation Anxiety
Shy or Timid
Other/Unlisted

 

 

 

 

 

 

 

 

Is there anything else you would like me to know about your dog's issues? If so, please use this space to provide that information:

When is the best time to contact you?

Days of the week you are available for appointments:

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Time you are available:  

Contact information (All information will be treated as confidential):

First Name
MI
Last Name
Address
Address (2)
City
State
ZIP Code
Work Phone
Home Phone
Cell Phone
E-mail
Fax

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