TO BOOK CONSULT

Behavior Consultation Request

* Indicates required field

Name (First and Last) *

First

Last

Email *

Address *

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 *

Dog's Breed *

Age *

Sex *

Male Female

Neutered/Spayed? *

Yes No

At what age did you acquire your dog, how long have you had him/her and where did your dog originate from? *

Typically how long does your dog stay home alone for and where are they kept? *

What type of food does you dog eat and how often are they fed? *

Does your dog have any food allergies that you know of? *

Does your dog go to daycare or go on walks with a dog walker -- if so where and when? *

How much exercise does your dog currently receive and what type? *

If your dog taking any medications, and if so what types? *

Does your dog have any medical issues? *

Has your dog completed any type of training prior to you contacting us? If so, what type? *

Please explain the challenges you are having and what you would like to accomplish with your dog. *

Please list the best times and days for us to contact you and for a consultation. Our consultations typically last 60 minutes in length. *

Has your dog ever bitten a human? If so, please list the incident details below. *

Has your dog ever bitten another dog bas enough that they needed to seek medical care? *

How did you find us?! *

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

WE'LL SEE YOU SOON!

Hours:

M-F: 900AM-700PM
Sat: 1000AM-400PM
Sun: OFFICE CLOSED.

Telephone:

(727) 434 - 1449

Email:

canineconnectiondogtraining@gmail.com