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Mad 4 My Dog Individual Session Request Form
Please fill out the details here and Madalyn will get back with you to schedule and/or make a plan. Thank you!
812-876-8134 for questions.
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Email
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Your email
Please enter below:
Your Name
Address
Phone #
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Your answer
Dog(s) Name, Breed, Age
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Your answer
Where did you get your dog? What is your dog's known previous history?
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Your answer
Is your dog on any medication? If so, what and for how long?
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Your answer
Physical exercise: what kind & how often?
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Your answer
Other pets in the home? Type/Breed/Age
Any concerns with interactions between pets?
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Your answer
Describe any previous training. When & Where?
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Your answer
Please list ALL SKILLS your dog does, with or without a treat or lure.
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Your answer
History of aggression? Please describe, when/where/who was involved? Was any injury caused?
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Your answer
Any other information about your dog & their behavior that you think might be helpful?
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Your answer
Please list all QUESTIONS & GOALS you have. This will guide our training plan.
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Your answer
Which Individual Training would you like to do? Check all that you are interested in. (Scroll down for details of each at bottom of form)
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Private Session with Madalyn
Day Training In-Facility
Walk & Train at your home
Trainer's Discretion based on goals
Other:
Required
When can you meet for a private session? Choose all that apply
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Mornings M-F (8-11a)
Midday M-F (11a-1p)
Afternoons M-F (1-5p)
Evenings M-F (5-9P)
Weekends Sat-Sun
Other:
Required
Where would you like to meet? Check all that you are open to.
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Mad 4 My Dog Facility
In your home (Add $15 fee)
In alternate Location (Add $15 fee)
Trainer's Decision based on goals & behaviors exhibited
Required
What training equipment/tools do you use?
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Regular Flat Collar
Martingale/Sighthound Collar
Slip or Choke Collar
Pinch/Prong Collar
Shock/Electric Collar
Treats
Clicker
Head Halter
Body Harness
Fixed Length Leash 4-6 feet long
Retractable Leash
Long Lead 8+ feet long
Other:
Required
Please type your name below indicating that you have read and agree to the Waiver pictured here:
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Your answer
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