Booking Form

Please complete the following

Your full name?*

Your street address?*

Your best contact phone number?*

Your email address?*

Training or Behaviour Modification?

YOUR TRAINING REQUIREMENTS:

Behaviour ModificationObedience TrainingPuppy TrainingOther
Please list your preferred Days, Dates and Times for our Initial Consult (please allow a min of two (2) hrs). Once we receive this information we will compare with our Diary and confirm:

ABOUT YOUR DOG:

Your Dog’s Name/s?

Your Dog’s Breed?

Your Dog’s Gender?
Male EntireMale SterilisedFemale EntireFemale Sterilised
Your Dog’s DOB?

Behavioural Issues:
Note:We will discuss these issues in more detail when we meet…this is intended to provide us a general overview only…
Please list the Behaviours that concern you (and when you first became aware of them)?

In what general circumstances do the problem behaviour/s occur?

What strategies have you utilised previously in an attempt to correct the behaviour/s?

How successful have these strategies been?

Do you discipline your Dog? If so, please outline your strategies for this ...

If Dog on Dog, or Human-directed Aggression is one of your concerns please complete the following:
Has your dog bitten and broken skin?

I can usually tell what will ‘set my Dog off’?

The aggressive behaviour is new and uncharacteristic?

Describe a typical episode?

Please note any additional information you feel is relevant and we should know about ...

How did you hear about Perth K9 Coach?

Thank you, we will be in touch as quickly as possible to confirm our appointment