Schedule Your First Session

Please fill out our New Client Behavioral History Form. We’ll contact you to schedule your first training session. We respond to new clients the same day the form is completed unless our office is closed. Please review our service areas prior to completing.

First Name:

Last Name:

Address:

City:

State:

Zip:

Phone:

Email Address:

Referred by:

Dog’s Name:

Breed:

Dog’s Age:

Dog’s Sex:

Male Female

Spayed or neutered?

Spayed Neutered

Other pets in house:

Other people in the house:

Veterinarian:

Medical problems:
Has the dog ever bitten/injured anyone? If yes, describe (please describe in detail how many bites your dog has inflicted on another dog or human and the severity of damage):
Where is the dog from/how long together:

Housebroken?

Yes No

Crate trained?

Yes No

Where does the dog sleep?

Brand of food:

Fed how many times a day?

Food restrictions/allergies?
Has the dog had any previous training? If so, describe (include cues he knows):
Daily exercise:
Reason for Consultation (please be as detailed as possible so we can make the most of our session):
What have been doing to remedy behavior/training issue:
Please list a few available dates and times (be specific, instead of ‘evening’ say ‘5pm or later’). The more dates/times you list, the quicker we can get you on our calendar:
Would you like to be added to our subscription list for free training tips and upcoming events? Yes No

Please initial each agreement(required):

I understand that payment is due at the time of service.
I understand if I cancel my in-home consultation within less than 48 hours of the appointment, Barker Behavior, Inc. will charge my card a $50 cancellation fee
I understand if parking is not available Barker Behavior, Inc. will ask that I cover the parking fees.
I give Barker Behavior, Inc. permission to share details of our session with my veterinarian to enhance my dog’s behavioral health.
I understand Barker Behavior, Inc. does not give refunds. If I choose not to use all of my sessions within six months, I understand they will be forfeited. Barker Behavior, Inc. does offer one timer sessions to prevent wasting any unused sessions from packages.
Barker Behavior, Inc. will endeavor to create as safe an environment as possible for the training care of my dog and will offer only sound, safe, and responsible training, care, and post-session training instructions. However, I recognize that Barker Behavior, Inc. is not responsible for any unintentional errors, omissions, or incorrect assertions. I understand that the recommendation of any other product or service is not a guarantee of my satisfaction with that product or service. Further, I am and will remain responsible for the actions of my dog at all times and I hereby agree to indemnify and hold harmless Barker Behavior, Inc. of any and all claims of injury, expense, costs, or damages caused by the actions of my dog while under Barker Behavior, Inc. care and under my own care as a result of following training instructions. I have been told by Barker Behavior, Inc. and understand the inherent risks in owning a dog, including but not limited to the risk of dog bites to myself or others.

I understand Barker Behavior, Inc. may use photos of my dog on their own and their affiliate companies’ (Bark Pouch and Dog E Directory) marketing materials and social media pages. NEVER will any private information be shared.
***Our trainers use a credit card processor on their phones, please kindly give us a 48-hour notice if you need to reschedule your session to avoid our $50 cancellation fee. Thanks so much!***

Schedule Your First Session

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773.658.9866