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Rebel Dog Academy Training Intake Form
Help us serve you better
Name
*
Email address
*
What specific behaviors are you seeking to address with your dog?
What is your dog's breed?
How old is your dog?
Is your dog spayed or neutered?
Select
Yes
No
Not Sure
Has your dog received any previous training?
Select
Yes
No
Not Sure
How would you rate your dog's socialization with other dogs?
Select
Excellent
Good
Fair
Poor
How would you rate your dog's behavior around strangers?
Select
Friendly
Cautious
Aggressive
Shy
What is your primary goal for training your dog?
Select
Basic Obedience
Behavior Modification
Agility Training
Therapy Dog Training
Which service or services are you interested in?
Please select at least one option.
On Leash Only Board and Train
On and Off Leash Board and Train
In Home Training
Additional questions or comments
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