Raw Pawtential

Name*

Email*

Address*

Phone*

Address*

How did you hear about Raw Pawtential? (Instagram, Google, Referral)*

What type of home do you live in?*

How many other dogs/animals/people are currently living in your home? (Please list all species and ages of people/pets)*

What Services are you interested in?*

Pet Name*

Breed*

Birthday*

How much does your dog weigh in pounds (lbs)?

Sex*

Is your dog not intacted or intacted*

What age was your dog fixed at?

How long have you owned your dog?*

Dog's Origin (Breeder, Shelter...)*

What do you like about your dog?*

What does your routine look like for your dog? Potty, Food, exercise, playtime, and nap time. How many hours in a day is your dog alone or with someone?*

What food(s) do you feed your dog (Brand, DIY, Fresh, Kibble, Raw)? What is your feeding schedule? How much do you feed them daily (Cups or weight per meal)? *

Please explain more in-depth about the checked behaviors:*

Where does your dog sleep at night?*

How motivated is your dog by food?*

How motivated is your dog by toys?*

Please list all the commands your dog knows and include a light description of each command. If your dog already uses an e-collar, what level are you working at?*

Is there any additional information you would like to share with us?*

If you have already worked with a trainer, what tools/techniques did they show you and were they effective?

Why are you seeking Raw Pawtential services for your dog? What are your training goals for your dog? What are the most important things we can teach your dog to help you enjoy your pet to the maximum?*

We contact you to tell you your dog has gotten a scratch from playgroup or is coughing. How do you respond?*

I am comfortable with Raw Pawtential using various training tools, including food, slip leashes, e-collars, prong collars, and more. *

No/yes

I hereby assign and grant to Raw Pawtential the right and permission to use, reproduce, distribute, and publish the photograph(s), film(s), videotape(s), audio and video recording(s), electronic representation(s) and/or sound recording(s) made of me and/or my dog(s) at any time during the training and/or boarding of my dog(s) by Raw Pawtential. I hereby release Raw Pawtential from any and all liability resulting from such use, reproduction, distribution, and publication.

Please sign your name and date, indicating that you have read these terms and Agree to this Photo/Video Release Agreement.

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