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(409) 227-4782
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unleashedcanine@yahoo.com
685 S MAIN. ST LUMBERTON TX 77657
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Consultation Request
First name
*
Last name
*
Email
*
Phone
*
Dog's Name
*
Dog's Breed/Mix
*
Dog's Age
*
Dog's Gender
*
Male
Female
Male/Neutered
Female/Spayed
Has dog ever bitten someone?
*
Yes
No
Does the dog bark/growl/lunge at people?
*
Yes
No
Has dog ever growled, bite or lunged at another dog?
*
Yes
No
Where did you get the dog from?
*
Breeder
Shelter
Other
Are they fearful of objects/places?
*
Yes
No
Are they fearful of people?
*
Yes
No
How long have you owned this dog?
*
Give a brief description of the problems you are having.
*
What have you done to try & resolve these issues?
*
What are your goals for this dog?
*
Which training program are you interested in?
*
Puppy Head Start
Basic Obedience
Advanced (Off-Leash Obedience)
Behavioral Boot Camp
Private 1-1
In-Home Training
Preferred contact time/day?
*
When is the best time to reach you?
Month
Day
Year
Time
:
Hours
Minutes
AM
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