Wildflower Behaviour Consultation Form

Initial Behaviour Intake Form. This form is required in order to book a behaviour consult for your dog(s). Please answer with as much detail as possible. Every form is reviewed carefully by our staff to ensure we are able to provide you with the best assistance possible.

Name *
Name
Phone Number *
Phone Number
How serious is your dog's issue? *
Tell Us About Your Canine Friend
Sex *
Aggression and Bite History
Has your dog ever snapped at another dog/pet? *
Has your dog every bitten another dog/pet? *
Has your dog ever snapped at a person? *
Has your dog ever bitten anyone? *
Severity of the worst bite
Medical
Disclaimer of Liability
I hereby agree to indemnify and hold harmless Wildflower Dog Training, its owners, trainers, employees, representatives and landlords from any and all liability for any loss, damage or injury to any person, any animal or anything, that may have arisen out of, or is in any way connected with, participation in training and behavioural consultations on or off Wildflower Dog Training properties. Furthermore, I assume all responsibility for any loss, damage or injury to myself, my guests, my dog or my property, which may have been caused by negligence, or any action or inaction, of any person connected in any way with the above said services.
Please check the box below to signify your agreement to the above disclaimer *