Intake Form

If you’d like to get started with private training, please fill out this intake form. If you receive an error message, please know that I DID receive your form—it seems that some people get an error message, while others do not.

Name

First Name

Last Name

Phone Number

How would you prefer to be contacted?

Home Address

Knowing your location will allow me to give you a more specific price and helps me with scheduling. Disregard for virtual training!

Names of all people in the household:

This helps me remember you and your family's names--please list ages of children, if applicable.

Dog's Name

If you have multiple dogs, put your "priority" dog here and list the others below.

Dog's Breed or Mix

Age of dog

Weight

Approximate is fine

Dog's Gender

Other pets in the household. List Name, Age, Breed, and Gender

Please include cats and small animals (such as rabbits/guinea pigs)

Where did you get your dog?

Breeder, rescue, etc. You can name the specific breeder or rescue group if you'd like.

Who is your veterinarian?

If you don't have one yet, that is fine (and maybe I can I recommend one)

How long have you had your dog(s)?

Has your dog ever injured anyone? If yes, describe the situation.

Please note that at this time, I am not taking any cases which involve human aggression. I would be happy to refer you to someone who is, though!

Are there any particular issues you need help with? Describe them below.

Puppy training, fearful dog, barking, etc. Please be as specific as possible.

Any additional info you feel may be useful:

List some potential days/times that would work best for you.

How did you hear about me?

If someone recommended me, let me know, so I can thank them.

Are you interested in Virtual Training via video chat or do you prefer in person meeting?

Virtual meeting.

In-person meeting.

Where we train

We see in-person clients throughout the entire Richmond metro area, and virtual clients from all over.