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What services are you interested in?
Is your dog on monthly:
When stressed or fearful, my dog: (please only check those that apply the most)
My dog can be: (please check all that apply)
Is your dog housetrained?
Yes
No
Is your dog crate trained?
Yes
No
Other
When home alone my dog is:
Crated
In an outdoor kennel
Kept indoors
Kept outdoors
Kept in a specific room
Other

EMERGENCY CONTACT INFORMATION

Please do not put your contact information, this must be an alternative contact person in the event that we cannot reach you, who will be available.

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