Registration

 *** PUPPIES AGED 8 WEEKS – 5 MONTHS NEED NOT ANSWER ALL QUESTIONS ON THE FORM

PERSONAL INFO

First & Last Name

Phone Number

Email Address

Dog's Name Breed & Age:

* MANDATORY * CHOOSE PACKAGE OF INTEREST.

 PUPPY CLASS 4 PACK PUPPY ADULT DOG 5 PACK FAMILY 2 HR HOME VISIT ADULT 2 HR CONSULTATION ANIMAL COMMUNICATION GRIEF SUPPORT 1 GRIEF SUPPORT 2

How Did You Hear Of Us?

QUESTIONNAIRE

Does your dog snap at you or others?
 Yes No

Does your dog lunge toward dogs or people?
 Yes No

Does your dog bark profusely at dogs, people or moving objects?
 Yes No

Does you dog drag you towards dogs, people or moving objects?
 Yes No

Does your dog whine profusely?
 Yes No

Does your dog completely ignore you in distracting environments?
 Yes No

Is your dog extremely fearful?
 Yes No

Does your dog run away from you when scared or startled?
 Yes No

Does your dog run away from dogs or people?
 Yes No

Is your dog unable to focus on you when distracted?
 Yes No

Does your dog jump all over people and hurt them? (grabbing clothing, or overuse of teeth)
 Yes No

Does your dog allow you to handle their whole body without biting, screaming or fighting you?
 Yes No

Does your dog show teeth to people in an angry manner?
 Yes No

Has your dog torn peoples clothing in an angry manner?
 Yes No

Do you know your dogs full history from birth?
 Yes No

Does your dog have a bite history?
 Yes No

Are you concerned that your dog may harm a person or another dog?
 Yes No

Does your dog show teeth to other dogs in an angry manner?
 Yes No

Does your dog show teeth to people in an angry manner?
 Yes No

ADDITIONAL INFO

What do you hope to accomplish through working with your dog?

QUESTIONS?

By submitting this form you understand our policies and refunds laid out here.

CONNECTIVE TRAINING™ NO LONGER WORKS WITH DOG AGGRESSION & ONLY SPECIALIZES IN OBEDIENCE, RELATIONSHIP & SAFETY BASED DOG/HUMAN EDUCATION. DUE TO THE HIGH NUMBER OF AGGRESSIVE DOGS REGISTERING WITH CONNECTIVE TRAINING™ IT IS MANDATORY THAT YOU FILL OUT THIS FORM WITH HONESTY & INTEGRITY. THANK YOU.

UPON COMPLETION OF THIS FORM, THE TEAM AT CONNECTIVE TRAINING™ WILL CONTACT YOU TO ARRANGE TRAINING TIMES & DATES BASED ON THE INFORMATION YOU HAVE PROVIDED. DUE TO CONNECTIVE TRAINING'S POPULARITY & DEMAND, RECEIVING MULTIPLE REGISTRATIONS A DAY, THERE MAY BE A WAITING LIST AT THE TIME OF YOUR REGISTRATION & PRIORITY IS GIVEN TO THOSE WHO MAKE PAYMENT ON THE SUBSEQUENT PAGE.

FULL REFUNDS WILL BE HONORED IF WITHDRAWING PRIOR TO 2 WEEKS OF THE 1ST APPOINTMENT. HALF THE AMOUNT WILL BE REFUNDED SHOULD WITHDRAWAL OCCUR  1 WEEK PRIOR TO THE 1ST APPOINTMENT. NO REFUNDS WILL BE HONORED AFTER THIS PERIOD. THERE IS NO FEE SHOULD YOU NEED TO RESCHEDULE A SESSION OR SESSIONS AS LONG AS WE RECEIVE NOTICE OUTSIDE OF 48 HRS OF THE SESSION. CANCELLATIONS WITHIN 24 HOURS IS NOT ELIGIBLE FOR A REFUND AND A RESCHEDULING FEE WILL APPLY.


**** Please note, all 4 pack personal training sessions must be completed within 2 months of your first session regardless of circumstance. Also note due to waiting lists, that a cancellation of a session must be 48 hrs in advance or the session will need to be made up at $75 cost.

IF PAYMENT IS NOT RECEIVED AFTER COMPLETING THIS FORM, PAYMENT IS MANDATORY AT THE TIME WE CONFIRM DATES & TIMES TO BE FAIR TO THOSE PAYING CUSTOMERS CURRENTLY ON WAITING LISTS FOR POPULAR TIMES. PAYMENT NOT MADE WITHIN 3 DAYS OF CONFIRMATION WILL RELEASE THE DATES & TIMES TO THE GENERAL PUBLIC ONCE AGAIN.