Canine Connection LLC
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Tampa Bay Area Services
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Behavior Consultation Request
*
Indicates required field
Name (First and Last)
*
First
Last
Email
*
i.e.
[email protected]
Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Please fill out the following information about the dog you are contacting us about
Dog's Name
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Dog's Breed
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Age
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Sex
*
Male
Female
Neutered/Spayed?
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Yes
No
At what age did you acquire your dog, how long have you had him/her and where did your dog originate from?
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Typically how long does your dog stay home alone for and where are they kept?
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What type of food does you dog eat and how often are they fed?
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Does your dog have any food allergies that you know of?
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Does your dog go to daycare or go on walks with a dog walker -- if so where and when?
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How much exercise does your dog currently receive and what type?
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If your dog taking any medications, and if so what types?
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Does your dog have any medical issues?
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Has your dog completed any type of training prior to you contacting us? If so, what type?
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Please explain the challenges you are having and what you would like to accomplish with your dog.
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Please list the best times and days for us to contact you and for a consultation. Our consultations typically last 60 minutes in length.
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Has your dog ever bitten a human? If so, please list the incident details below.
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Has your dog ever bitten another dog bas enough that they needed to seek medical care?
*
How did you find us?!
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All consultations require one mandatory follow up, pre-paid, to be arranged at time of consultation. Please indicate by checking this box that you understand this policy.
*
Yes
Do you want to be added to CCC's email list?
*
Yes
No
I understand the terms and agreements?
*
Yes
Send
Home
About
Our Trainers
Reviews
Our Family!
Tampa Bay Area Services
Private Training
Board & Train
Boarding
Day Training Program
Service & Therapy Dog Training
South FL Area Services
FAQ
Contact Us!