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First Name

Last Name

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Address 1

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Zip / Post Code

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Phone

Best time to call

Refered By

Name of dog

Breed

Age

Gender

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Male

Altered

Altered
Not Altered

Vices/Problems/Issues and Corrections Tried

Behaviors

House trained
Crate trained
Bolts the door
Jumps on people
Barks incessantly
Paces, circles, or shows signs of anxiety
Destructive when left alone
Digs in the yard
Irresponsive to "come"
Mouths at hands
Dog aggression
Human aggression
Food aggression
Has your dog bitten someone

Other household members (please include names, ages of children, and ages and breeds of other animals.

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Group Class

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Welcome!
Training
Our Trainer
- About
- Philosophy
Testimonials
- Testimonials – Greenville
- Palm Beach Testimonials
Pawsitive Info
Match K-9 Rescue & Rehabilitation!