Name * First Name Last Name Phone * (###) ### #### Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Dogs Name Dogs Breed and Weight Dogs Age/ Sex Spay/ Neut? Housetrained? Other Pets in Home? How Did You Hear About Koby's Kind Dog Training? Veterinarian Medications/Allergies? Other People in Household Please include ages of children if under 18 Occupation/Time Spent Outside of Home Where Did You Obtain Your Dog? And How Long Ago? Please name specific breeder/rescue/shelter/ Where Does Dog Sleep? Percentage of Time Inside and Outside Where Is Dog Kept When Alone? Have You Worked With A Trainer Before? If So What is The Name/Company/Individual? If Yes, What Was Used To Train? If Self Trained How Have You Trained Your Dog? For example: Treats/Food, Praise, Electric Collar, Prong Collar, Toys. Please be specific and list all that apply. Has Dog Ever Bitten or Injured a Person or Animal? Describe Below Exercise Type And How often? What Equipment is Used on Walks? Please be specific, for example: harness, flat collar, prong collar, 6ft leash, slip leash, retractable etc. Reason For Consultation (In order of importance) or Anything Else You Want to Add About Your Dog: * I Sign And Agree To All of Koby’s Kind Dog Training LLC Terms and Conditions. I Agree I Am Aware there is a 24 hour, $140.00 Cancellation Fee For Lessons Cancelled in Under 24 hours. I Agree Thank you!