Initial Behavior Consultation

How To Get Started

On the form below

Mark all the days and times that work for your schedule.
Complete the rest of the form giving me as much information as possible.
Within 24 hours you will get a call or e-mail of appointment times to choose from.
look for an e-mail confirmation of your appointment and instructions on how to prepare.
Start Training: Begin your training journey to having a well-mannered dog and a happy life together.

When you click the button on the bottom that say’s pay for your appointment, if it does not take you to the thank you page, check this page for errors or unanswered questions.

If you struggle to get your form to go through, please call us @ 541-603-6868.

You are signing up for 60-75 minute Zoom Appointment

Behavior Consultation - Sale Price

Your application is a legal contract and therefore, must be filled out by the primary trainer who must be an adult.

Mark all days and times that work for your schedule(Required)

Name of the PRIMARY ADULT who will do the training(Required)

First Last

Email Address of the Primary Person training(Required)

Other Details(Required)

Phone Number of Primary Person Doing The Training

Names of Other Adults who may attend

Your Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Your Dog's Information(Required)

Your Dog's Name

Breed

Birth Date

Sex & Spayed or Neutered?

The Veterinary Office you use(Required)

Check all Struggles your Dog Displays(Required)

Check all Struggles you want help with(Required)

Tell me about your other struggles(Required)

Pick Your Top, Most Pressing Goal(Required)

When your dog exhibits your tops stated struggle, how does it make you feel(Required)

Tell me how your dog top struggle limits your life.(Required)

What can't you do (or do very easily) that you would really like to do more of.

Tell me about your dog's Food(Required)

Brand Of Food

Variety within the brand ex - puppy, Lamb etc

Treats, Snack you give

What General History Would you like to tell me about your dog and its struggles?(Required)

Please tell me about your dogs current and past medical struggles plus medication or supplements your dog is on(Required)

How does your dog respond to seeing other dogs (both when your dog is on leash and off leash)? (Check all that apply)(Required)

How does your dog respond to seeing people(both when your dog is on leash and off leash)? (Check all that apply)(Required)

How did you find out about our training - Is there someone we should thank?(Required)

We all have things that hold us back from achieving success - what is the 1 thing you think may hold you back or know has held you back in the past.(Required)

Agreements, Policies and Conditions

After enrolling in a program, should the instructor discover said program is not an appropriate fit for me (an inability to hear, safety issues) or my dog (excessive vocalizing, dog too stressed to eat, does not meet minimal social skills,) , I agree to transfer to the program recommended by my instructor.(Required)

Yes

I understand class materials are for my personal use and agree to not share class content with others.(Required)

Yes

If my dog or I am contagious or exposed to a contagious disease I agree to attend on-line classes until there is no longer a risk of spreading disease and agree to notify my instructor immediately upon discovery.((Required)

Yes

I agree to follow all safety guidelines, including not allowing children to handle my dog without instructor approval and I state, I have ability to handle my dog in a way that ensures the safety of other dogs and people.(Required)

Yes

Should my instructor become contagious, or a Stay At Home Order be issued, I agree to have my classes online until those conditions are rectified.(Required)

Yes

I understand The Well-Mannered Dog is an educator who may use my and my dog’s likeness, voice, name, images in any and all audio, written or visual format to be used in educational materials and marketing. I hereby relinquish, give and assign to The Well-Mannered Dog, LLC all rights, title, and interest I may have in the materials without limitation. In addition, I acknowledge The Well-Mannered Dog is the owner of said materials without payment or compensation to me.(Required)

Yes

Cancellations & refund policy For Private Appointments - Because we have limited appointments available, both parties agree to only cancel or reschedule appointments in the event of an emergency (unforeseen circumstances resulting in a need for immediate action). Emergency cancellations will be rescheduled. Rescheduling non-emergency cancellations are charged our normal hourly rate. Once appointments are scheduled no refunds will be given for any reason.(Required)

Yes

I agree to forfeit any training privledges not used prior to the expiration period.(Required)

Yes

Meeting your training goals involves 3 party’s working together as a team. That team includes you the pet parent, your dog and The Well-Mannered Dog. The “magic” of having a well trained dog that complements all aspects of your life is is a lifelong commitment with you being an active participant. Your dog will learn after you have first learn your part and put daily effort into the training. The biggest predictor of success is you, what you do or don’t do. We will coach you through the steps to attain your training goals but we make no guarantees of performance on your part or that of your pet as a result of the services we provide.(Required)

Yes

Hold Harmless Waiver - Submitting your application, signifies your agree to our Agreement To Hold Harmless, Waiver And Assumption Of Risk waiver. Agreement To Hold Harmless, Waiver And Assumption Of Risk – I understand that attendance of a dog training class is not without risk to myself, members of my family, guests who may attend, or my dog, because some of the dogs to which I will be exposed may be difficult to control and may be the cause of injury even when handled with the greatest amount of care. I hereby waive and release THE WELL-MANNERED DOG, LLC hereinafter referred to as the Training Organization, its employees, officers, members and agents from any and all liability of any nature, for injury or damage which I or my dog may suffer, including specifically, but not without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of such damage or injury while attending any training session, or any other function, of the Training Organization, or while on the training grounds or the surrounding area thereto. In consideration of and as inducement to the acceptance of my application for training membership by this Training Organization, I hereby agree to indemnify and hold harmless this Training Organization, its employees, officers, members and agents from any and all claim, or claims by any member of any family or any other person accompanying me to my training session or function to the Training Organization, or while on the grounds or the surrounding area thereto as a result of any action by any dog, including my own.(Required)

Yes

Behavior Consultation - Sale Price(Required)

Price:

Credit Card