Puppy/Adult Manners Courses

First Name(required)           Last Name (required)

Home Phone (required)         Cell Phone              Work Phone

Email (required)             Secondary Email

How would you prefer to be contacted? EmailPhone

Home Address:
Street(required)                City(required)

State(required)      Zip Code(required)

Mailing Address (if different)

Home Environment:
Non-Smoking in the HomeSmoking in the home

Household members (human) - Names and Ages

Other pets living in household: (Species, Names, Ages)

Dog’s Name:  Breed/Mix:
Weight:    Dog's Date of Birth:


If Spayed/Neutered; At What Age?

How old was your dog when you got him/her?

Where did you get your dog?

What Brand/Type of Food do you feed your dog?

How many times a day do you feed your dog?

How much do you feed your dog per meal?


List any medications your dog is currently taking:

Does your dog have any current medical issues?

Please describe any previous medical conditions

Type of Class/Course you are looking for:(check all that apply)
Puppy MannersAdult MannersBeyond MannersParent EducationPrivate Consultations

What is the reason for your contacting Animal Manners?

Previous Training:(check all that apply)
No training yetTrained him ourselvesPuppy GroupBasic GroupIntermediate GroupAdvanced GroupPrivate LessonsSent to trainer

What vocabulary words does your dog currently understand? (example: Sit, lie-down, stay, etc.):

Please describe the training methods used: (check all that apply)

Please describe the training tools used: (check all that apply)
Flat CollarBody HarnessNo-pull HarnessHead HalterMartingaleChoke/Slip CollarProng/Pinch CollarE-CollarCrateTetherBaby gatesX-Penlong-linesInvisible Fencing

How much, and what type, of exercise does your dog get per day?

Does your dog attend Doggie daycare or have a dog walker? If yes, how many days/hrs. per week?

How many hours is your dog left alone per day? Is your dog free in the house, crated, other?

How would you describe your Dog Experience level?
First Time OwnerSomewhat ExperiencedExperienced

What are your Goals for this dog?

Is there any other information you would like to share about your dog?

Where did you hear about Animal Manners?

What is your preferred day and time for our training sessions?
Monday (daytime only), Tuesday, Wednesday, Thursday:

Hours: 9:00am to 7:00pm:

Please enter the code on the left in the box provided