NEW CLIENT Program Application

Investment: $515 ($412 for virtual)

Program includes:

Initial consultation/lesson combo (1.5 hr) to go over history, routines, known behaviors, problem behaviors, etc. and begin with training exercises
2 additional follow-up lessons* (1 hr each) to review previous training, address questions/concerns, and add new training exercises
*lessons are booked every two weeks or so
Outline of training exercises, and product recommendations provided (emailed)
Email support between lessons
Informational handouts to aid in training
Training can take place at your home, or at a local pet friendly establishment/area
Additional lessons can be purchased as needed once the program is complete

I UNDERSTAND I WILL BE EMAILED A FORMAL CONTRACT AND PRE-PAID INVOICE FOR THIS PROGRAM. 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

FULL Home Address

I UNDERSTAND THAT 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 lessons:

select all that apply(required)

Morning (11a) Afternoon (12-3p) Evening (4-7p)

Dog Name

Breed

Colors/Markings

Male or Female?

Choose one option(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 PROGRAM.

Training by Jacqueline, LLC

NEW CLIENT Program Application

Thank you for your response. ✨

NEW CLIENT Program Application

Thank you for your response. ✨

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