IMPORTANT!!  Once you have submitted this form, we will work with you to figure out whether or not we could schedule a private session. There are a few behavior cases we may refer out to trainers with more experience with the specific issues. Please submit the form, and we will request further details and/or schedule the session as soon as possible.

1. Name of Owner(s) Requesting Private Training & Behavior Consult:

2. Email Address:

3. Would you like to receive our email newsletter?

Yes No

4. Phone Number:

5. Mailing Address:

6. Please provide background on your pet:

7. What Breed or Mix is Your Pet?

8. Any Past Training for Your Pet?

Yes (which classes?):
No

9. List the top 3 issues you would like to work on:

10. Referred By?:

The Dog Haus
Spa Woof
Ruffin' It Resort
Yellowpages
Event (which one?):
Vet Clinic (which one?):
Previous Teacher's Pet Client (who?):
Social Media (Facebook, Youtube, Blog?):
Internet Search
Other:

11. Other notes:

12. Read and Check Waiver:

Check here!

I certify that my pet is current on its vaccinations for Bordatella, Rabies, and Distemper, and is currently on a flea prevention program.  If my dog or cat is too young to have been given all of these vaccinations, they will be administered at the appropriate age.  I accept full responsibility for the acts of myself, my dog or cat, and my guests during the private session.  I understand that Teacher’s Pet Training Academy, LLC cannot be held responsible for any injury caused by my pet, or to my pet, and release Teacher’s Pet Training Academy, LLC from all claims of liability.  I certify to the best of my knowledge all the above information is accurate.

PAYMENT:  Payment is due upon receipt of services (so, when the trainer finishes the private session). At that point, you may write a check, pay online via Google Checkout, or mail in the check to P.O. Box 44671, Madison, WI 53744.   

Thank you for choosing Teacher’s Pet Training Academy, LLC. You will receive an email regarding more  details and scheduling within 48 hours.  We look forward to meeting you and your pet!