Consultation Application

Investment: $250

This application is for a one time consultation to get started with an assessment and information on training.

AT THE TIME OF SUBMITTING THIS FORM WE ARE READY TO BEGIN TRAINING ASAP. (required)

I UNDERSTAND I WILL BE EMAILED A FORMAL CONTRACT AND INVOICE PRIOR TO SCHEDULING. BOTH ARE TO BE COMPLETED WITHIN 48 HOURS UPON RECEIPT OR I FORFEIT MY SPOT ON THE SCHEDULE. (required)

To preview the formal contract, click here. This contract is NOT modifiable.

Full Name(required)

Preferred pronouns

Phone(required)

Email(required)

FULL Home Address(required)

I UNDERSTAND THAT THE TRAVEL RANGE IS 20 MILES MAX FROM THE PINCKNEY PUBLIC LIBRARY. (required)

I need a virtual consultation.

Please select your availability for scheduling lessons:

Dog Name(required)

Breed(required)

Male or Female?(required)

Choose one option(required) Spayed (females)

Neutered (males)

Unaltered

Will alter in future

Approximate Age/DOB(required)

Date acquired(required)

Where did you get your dog from?(required)

How old was your dog when you acquired them?(required)

Describe your training goals:(required)

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

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

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

Who is your veterinarian?(required)

Date of last veterinary exam:(required)

I UNDERSTAND I WILL BE REQUIRED TO SEND A COPY OF MY DOGS VACCINATION STATUS TO JACQUELINE PRIOR TO THE START OF LESSONS. IF MY DOG IS NOT UP TO DATE ON RABIES AND DISTEMPER, THE LESSONS WILL BE ON HOLD UNTIL MY DOG IS CURRENT ON VACCINATIONS. (required)

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

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

I UNDERSTAND THAT TRAINING INVOLVES LEARNING HOW TO TEACH MY DOG ON MY OWN. TRAINING TAKES TIME, AND CONSISTENT EFFORT, TO CREATE CHANGE. I AM READY AND ABLE TO COMMIT TO FOLLOWING A TRAINING PROGRAM. (required)

Training by Jacqueline, LLC

Consultation Application

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Consultation Application

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