EmailMeForm
Private Training Reservation Form
Please complete this form if you are ready to purchase and reserve a private training session or package of lessons. Please note if our professional dog trainer or behavior consultant determines that your dog requires a behavioral consultation due to the other behavioral issues we will discuss with you our behavior consultation service.
Name
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Email
Phone
###
-
###
-
####
Why did you contact us to help you with training?
Which skills would you like your dog to learn
Sit
Down
Name
Come
Walk nicely
Greet people politely
Stay
Go to your mat/place
Leave it
Wait
Other
Describe other skills you would like your dog to learn
Name of dog
First
Last
Breed of Dog
Your dogs birthdate
MM
/
DD
/
YYYY
Please tick any that apply to your dog
Growled at a person
Snapped at a person
Growled or snapped at a dog
Guards its toys
Guards its food bowl
Does not have any doggie friends
Does your dog have any ongoing medical problems or is it taking any medications
yes
no
Please describe any ongoing medical problems or medication your dog is taking
How many people live in your household, please indicate any children and their ages.
Please tell us more about your dogs training history
Please indicate what training your dog has had
puppy training
pet dog training
private training
What is the best time to call you
Tell us more about your dogs daily exercise scheule
How much daily exercise does your dog receive
What type of exercise does your dog get each day
Does your dog ever get the opportunity to run and play off leash
What services would you like to schedule
1 private appointment
A package of 6 lessons
A package of 8 lessons
Would you like to schedule the services
In Your Home
At the Courteous Canine Campus
Preferred Day of the Week
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred Time of Day
Please tick here to confirm you have read our dog training policies and procedures that can be found on our website
yes
Image Verification
Please enter the text from the image:
[
Refresh Image
] [
What's This?
]