* Phone Number
How did you hear about Wildflower Dog Training?
What is the main issue you wish to work on?
Tell Us About Your Canine Friend
Your Dog's Name
Breed and Age
How long have you had your dog?
Have you done any training with your dog? And if so, with whom?
How much exercise does your dog get on an average day?
Aggression and Bite History
If your dog has bitten, please explain what happened
Does your dog suffer from any known medical conditions? If so, please specify.
Please list any known allergies (food or otherwise)
Please list any current medications your dog is taking
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.