In-home Dog Training - Manhattan and Brooklyn
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Registration form for Private In-Home Instruction
Please note that if you have previously filled out paperwork, you do not need to do it again to sign up for additional services. Just send us an
Where did you hear of us?
Breed or mix
Address/Phone if known
Reason for last vet visit
Does your dog have any allergies or medical problems?
Does your dog take any medication, including flea/tick/heartworm preventative?
How long have you had your dog?
Where did you get your dog?
Did your dog have other owners?
Please list other pets in the household
How many times a day does your dog go out?
How many times a day does your dog eat?
Has anything in the household changed since acquiring your dog?
What exactly do you feed your dog?
How large is your living space? (studio, house, 2 bedroom, etc)
Describe how you leave from & return to your home (big hello & goodbye to the dog or no fuss)
Who lives in the household?
What does your dog do as you prepare to leave?
Please list what your dog knows (sit, leave it, etc)
What is your dog's training history, and at what age did you start?
Are there any behavior problems you'd like to discuss?
I grant my permission for Walk This Way Canine Behavior Therapy, to work with my pet in the area of Canine Behavior Therapy. I understand that in the area of Obedience Training, owner compliance is necessary for the dog to understand and retain the training he/she has received. I also understand that in the area of Behavioral Problems, owner compliance and patience are key in the rehabilitation of my pet. I understand that any behavioral abnormality is controllable but not necessarily curable, especially when concerning aggression problems. I do not hold Walk This Way Canine Behavior Therapy responsible for the actions of my animal during or after treatment. If my pet is left in the care of Walk This Way Canine Behavior Therapy and needs medical attention, I authorize Walk This Way to consult with my veterinarian. If my veterinarian is unavailable, I authorize Walk This Way Canine Behavior Therapy to utilize the services of another vet or emergency hospital. I understand that I am responsible for any charges in respect to veterinary care. Fees and deposits are non-refundable. We accept all major credit cards, cash and personal checks. If paying by credit card or debit card, you will be emailed an invoice by PayPal Merchant Services either prior to your appointment (for a deposit) or at the conclusion of your session. Payment is expected at the time of service. If we come to you and either you or your dog is not there, the full amount will be charged. Appointments scheduled for 12noon-8pm on weekends or after 6pm on weekdays require a credit card deposit equal to the full amount of the appointment. Cancellations for those time slots made less than 48 hours in advance will incur a fee of 50%. By entering my name in the box below, I certify that this is a legal and binding signature.
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