Training Assessment Booking Form — WildFree Canine Services Inc.

Book Assessment for Training Courses

This form is for all training course stays at the WildFree Canine Farm, such as the Canine Etiquette Course, the Leash Walking Bootcamp and the Smarty Pants Leash Walking Course. If you are looking to book Basic Training Sessions or Puppy Classes, please CLICK HERE.

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Information

Emergency Contact Name

Please provide a contact other than yourself

Emergency Contact Relationship

Emergency Contact Phone Number

Veterinary Information

Veterinarian Name

Veterinarian Address

Veterinarian Phone Number (required)

Pup 1

Dog's Name

Breed

Date of Birth

Gender

Is your dog spayed/neutered?

Food Brand

Social Skills

What are your behavioural concerns?

Pup 2

Dog's Name

Date of Birth

Gender

Is your dog spayed/neutered?

Food Brand

Social Skills

What are your behavioural concerns?

Training Services

Which training service are you interested in?

Is your dog prone to escaping? If yes, please explain.

ie: crates, kennels, yards, houses, etc.

How did you hear about WildFree Canine Inc.

Any additional information or questions?