| Owner's Name: * |
Owner's Name
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| Appointment Date & Time: * |
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Phone Number:
Please include a cel phone if possible * |
Phone Number
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| E-mail: * |
E-mail
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| Home Address - For home visits: |
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| How did you hear about my services?: * |
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| Dog's Name: * |
Dog's Name
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| Breed: * |
Breed |
| Dog's Age: * |
Dog's Age
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| How long have you owned your dog?: * |
I have owned my dog for |
Where did you get your dog?:
Breeder, shelter, pet shop * |
My dog came from
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| Is your dog spayed or neutered?: * |
Spayed or neutered? Yes/No
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| What do you feed your dog?: * |
I feed my dog
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| Does your dog have any allergies?: * |
Allergies Yes/No
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| My dog is in good health and free from any contagious illness and parasites: * |
My Dog is Healthy |
Has your dog ever bitten?
If yes were this must be discussed with Sumac* |
Bite History; Yes No
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| Please describe any behavior issues that are impacting life with your dog?: |
Behavior issues |
| Your number 1 goal for this session is?: * |
Goal 1 |
| Your number 2 goal for this session is?: |
Goal 2 |
| Your number 3 goal for this session is?: |
Goal 3 |
| I understand that dog training is not without risk. I agree to release and forever discharge Wag It Inc, Sumac Grant-Johnson, Brian Johnson, Wag It Inc employees, associates, participants, and guests from any and all liability including dog bites,damage or loss:: * |
I agree with the Wag It Release policy.
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A credit card is required to hold your appointment. Please call Sumac with your Visa or MC information.
Your card will not be charged unless the cancellation policy is activated.
Cancellation Policy:
Cancellations 72-24 hours - $35.00 fee
Less than 24 hours - full fee * |
Cancellation Policy
Agree |
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