Free Case Evaluation

YOUR CONTACT INFORMATION
* You first and last name:
* You dog's name:
* You dog's date of birth(mm/dd/yy):
* Your email:
* Your number and street:
* City, State, Zip:
* Your home telephone:
Your work telephone:
Your cellular telephone:
The preferred telephone number to be used if K9 control must contact you regarding scheduling changes or other urgent matters:
INFORMATION ABOUT YOUR DOG
Your dog's breed:
Your dog's gender:	Intact Male Neutered Male Intact Female Spayed Female
You dog's date of birth(mm/dd/yy):
How long you have owned this dog:
From where did you acquire your dog?:	Breeder Rescue or Shelter Private Party Other
BRIEF BEHAVIORAL SUMMARY
Please share information about any behavioral problems your dog is having, such as house soiling, destructive behaviors, poor leash manners, chronic barking, jumping up, barking at strangers, fearfulness, aggression, etc.:

ADDITIONAL COMMENTS
Please feel free to share with us any information regarding your dogs general disposition, i.e., playful, hyper, friendly, etc:

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