wagd on Wheels Information Form Please fill out this form to request a WAGD staff member contact you to book your session. "*" indicates required fields Your Name* Phone*Email* Zip Code* How did you hear about us? (If veternarian, please provide the name of the clinic)* What days and times are generally open for scheduling your training sessions?* Our initial consultation is virtual. Following that inital, virtual consultation, where would like to meet with the trainer?* Virtually (Zoom or Google Meet) Client's home An alternate public location (a park, a pet friendly business, etc.) Address of preferred meeting location*Dog's Name* Dog's Age* Dog's breed or mix of breeds* How long has your dog been in your household?* What is your primary reason for reaching out for training with your dog?* Puppy stuff (housetraining, puppy biting, chewing, etc.) Manners (sit, down, stay, loose leash, polite greeting, etc.) Behavior help for fear/anxiety Behavior help for aggression/reactivity Dog having issues with other household pets Other Check all that apply to your dog* My dog goes to doggy daycare or the dog park regularly My dog has snapped at (no contact made) another dog? My dog has snapped at (no contact made) a person? My dog has bitten (made contact) another dog or cat? My dog has bitten (made contact) a person? My dog is blind and deaf None of the above apply to my dog Please provide details on the scenarios when your dog snapped at or bit. We are happy to work with most aggression and reactivity cases. The more details the better when it comes to helping your dog.*Please describe the scenarios that you're wanting to improve. What is your dog doing, what are you doing and where is this happening? If you have other pets at home, what are their breeds and ages? Does this dog get along well with the others?* Are there any other people in the home who interact or train with your dog? Please list ages of any children.* Has your dog ever had any previous training? If so, what kind of training?* HiddenHas your dog ever bitten another person and/or dog? If yes, please tell us as much about each scenario as you can.*