Consultation Application

Investment: $265 ($212 for virtual)

Consultation includes:

In-home or virtual consultation/lesson combo (1-1.5 hr) to go over history, routines, known behaviors, problem behaviors, etc. and begin with training exercises
Outline of training exercises, and product recommendations provided (emailed)
Informational handouts to aid in training

I UNDERSTAND I WILL BE EMAILED A CONTRACT AND PRE-PAID INVOICE FOR THIS CONSULT. BOTH ARE TO BE COMPLETED WITHIN 48 HOURS UPON RECEIPT.

I need virtual services (meet over Zoom Video)

Desired Start Date:

Full Name

Phone

Email (required)

FULL Home Address

I UNDERSTAND THE TRAVEL RANGE IS 20 MILES MAX FROM THE HAMBURG FITNESS CENTER & CAMP (8540 Hamburg Rd Brighton, MI 48116).

Please select your weekday availability for scheduling:

select all that apply(required)

Morning (10-11a)

Afternoon (12-4p)

Evening (4-7p)

Dog Name

Breed

Colors/Markings

Male or Female?

Choose one (required)

Spayed (F)

Neutered (M)

Unaltered

Will alter in future

Approximate Age or DOB

Date acquired

Where did you get your dog from?

How old was your dog when you acquired them?

Describe your training goals:

I UNDERSTAND JACQUELINE DOES NOT OFFER TRAINING FOR THERAPY DOGS, SERVICE DOGS, PROTECTION, SPORT/AGILITY, OR SEPARATION ANXIETY.

Please list human occupants in your home, and their ages:

Please list other animal occupants in your home, and their ages:

Who is your veterinarian?

Date of last veterinary exam:

I UNDERSTAND I WILL BE REQUIRED TO PROVIDE A COPY OF MY DOGS VACCINATION RECORDS TO JACQUELINE AT THE CONSULTATION. IF MY DOG IS NOT UP TO DATE ON RABIES AND DISTEMPER, THE REMAINING LESSONS WILL BE ON HOLD UNTIL MY DOGS IS CURRENT ON VACCINATIONS.

Is your dog currently on medications? Do they have any medical conditions or allergies? If yes, please list and/or describe:

Please describe prior training history (including with any other training companies or trainers):

Please give a brief summary of problem behaviors:

What’s your response to your dog immediately after problem behaviors?

When do behavior issues occur? (triggers/causes)

I UNDERSTAND THAT PROFESSIONAL TRAINING INVOLVES LEARNING HOW TO TEACH MY DOG ON MY OWN. TRAINING TAKES TIMES, AND CONSISTENT EFFORT, TO CREATE CHANGE. I AM READY AND ABLE TO COMMIT TO FOLLOWING A TRAINING PLAN.

Training by Jacqueline, LLC

Consultation Application

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Consultation Application

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