Intake Form - Tug N Trust

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- Intake Form

REQUEST A CONSULT

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Services
About the Trainer
Contact Tug & Trust

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Name *

First

Last

City

Zip Code

Phone *

Email *

Preferred Contact Method

Phone Call
E-Mail
Text Message

Dog Breed *

Dog Age *

Dog Name *

I am interested in… *

Consultation
Puppy Program
Behavior Therapy
Basic or Advanced Training
Service Dogs
I Don’t Know Yet

I would like to consult… *

In Person
On the Phone

I would like to… *

Train my current dog
Join the waitlist

I would like to receive training by… *

Board and Train
Private Lessons
Both

My dog has the following challenging behaviors…

Severe Anxiety
Aggression
Reactivity

Does your dog have a bite history?

Yes
No

Who has your dog bitten?

Adults
Children
Animals

What are your primary concerns with your dog? *

What is the skill you would most like your dog to learn? *

What are the best days or times to reach you? *

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About the Trainer Services

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