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Stacey Ainslie

510.904.4422

Heavenly Hounds

Where even old dogs can learn new tricks!

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Pet owner First name

Last Name

Complete Address(City, State, Zip)

Contact Number

Emergency Phone Number

Pet 1 Name

Age

Breed of dog

Pet 2 Name

Age

Pet 3 Name

Age

Breed of dog

Pet Veterinarian

Phone Number

If Yes, Please brielfy explain

Brief bullet points of what you would like to see happen in thi training.

When and where?

Does your dog get on the Furniture? When? What furniture? Bed, couches etc...

Does your dog go into the bathroom? Get in th garbage here? Drinks out of toilet?

Is there a specific place or event that your dogs jumps on people more. For instance, th front door.

Please explain

Please explain? Is there a specifc event or phase of walk this appears?

Please explain?

If answered yes to this: Resource guarding/Aggression Explain:"

Does dog have seperation anxiety? If Yes, how do you hande?

Anything we need to watch out for? Anxieties, fears, etc?