Dog Training Pet History Form

*An initial consultation is mandatory for all new training clients and can be conducted in-person or remotely.

*An additional travel fee may be incurred for locations beyond 30 miles from Liverpool, NY

Name*

First NameLast Name

Phone Number*

Area CodePhone Number

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please list all people in your home and include age and relationship to you:

Dog's Name*

Breed*

How old is your dog?

Approximate Weight*

In Lbs.

Who is your veterinarian:

Is your dog spayed/neutered?*

YesNo

Please list all other animals in your home and include name, age, sex, breed, and if spay/neutered.

Does your dog have any allergies?

Has your dog ever bitten a person or another dog?*

YesNo

If yes, please explain:

Please describe your dog training goals:*

How did you hear about Cohesive Canine?*

If referred by a friend, please tell us who so we can thank them:

Promo Code