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Customer Inquiry Form:


A Private Consultation is by appointment only.

Please understand the consultation is a scheduled appointment, if you cancel without a 24 hour notification you will be charged for the appointment. 

If you are a new client, you must be willing to fill out and submit the following two forms. 

Release From Liability Form - This form acknowledges the fact that ultimately your dog's behavior and actions are your responsibility and the Canine Behavior Center will not be held liable for any actions or behaviors your dog exhibits before, during and after any consultation or behavior modification training. 

Dog Background Form - This form helps the Canine Behavior Counselor gather some very important background information about your dog.

Please provide the following contact information:

Name
Name of Dog
Home Phone
E-mail

Choose one of the following options:

Rescue Volunteer
New Client
Existing Client

How did you hear about me?

What type of Consultation do you need?

Behavior Issue with my dog
Behavior Issue with my puppy
New Puppy Consultation
New Dog Consultation
Other

Question or Comment:




Revised: 01/03/09