Name *

First

Last

What are the names of the other people who live at the home with the dog(s)? Please include the ages of the children.

Email *

Cell Phone Number (text message communication will be sent here)

Secondary Phone Number

Address

Address Line 1

Address Line 2

City

State

Zip Code

It's not always easy finding people's houses in the dark. Can you tell me anything that will help me identify your house or building (blue car in driveway, etc.)?

How did you hear about us?

Dog's Name

Dog's Breed or Mix

Dog's Age

Dog's Sex

Who's your dog's veterinarian?

Where did you get this dog from? We often end up working with dogs from the same breeders or rescue groups repeatedly and it's fun to notice the similarities.

Dog's #2 Name

Dog #2's Breed or Mix

Dog #2's Age

Dog #2's Sex

Where did you get dog #2 from?

What are the names and ages of the other dogs in the house?

What are your top 5 goals for your dog's behavior?

Does your dog struggle with any of these undesired behaviors?

What skills would you like your dog to learn?

What does your dog do if another dog walks by on the other side of the street?

My puppy hasn't seen any dogs on walks yet
Gets super excited and pulls towards the dog
Is excited but still pays attention
Ignores the dog completely
Tries to leave or hide
Barks and pulls towards the dog

What does your dog do when a person your dog doesn't know approaches you and your dog?

Gets super excited and tries to pull toward or jump up on the person
Is excited but still pays attention to me
Ignores the person and doesn't try to say hi
Sometimes barks at the person

Have you seen any snapping, aggression, or barking with lunging behavior from your dog? Has your dog ever bitten a person or a dog in a way that was not playful or puppy biting?

How will your life be impacted once your dog is trained (less embarrassed when visitors come over, being on time to work because the dog came when called, peaceful walks around other dogs, more freedom to go places with the dog, etc.)?

55 minute training session

Price: $100.00

Total

$0.00

Stripe Credit Card *

Card

Name on Card

You are one step closer to the well-behaved dog you've always wanted!

Mariah Hinds Dog Training Forms

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