Enrollment Application
New client or existing client?
New client
Existing client
Which consult are you requesting? Please mark one.
FREE 15 min phone consultation?
Initial evaluation and 1st Lesson? ($199/90 min session)
Appointments are not finalized until you receive confirmation.
Client Info
Name
*
First Name
Last Name
Best number to reach you
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Select which programs you are interested in. Initial Evaluation required prior to enrollment in any program:
*
Behavior Consultation
Day School Enrollment *Limited availability for this accelerated program
Private School- In Home/ Real World/ Campus/ Hybrid
Group Class Memberships- In Person/Virtual
Homeschooling- Trainer Supported Virtual/Remote Learning
S.M.A.R.T. Pup Tutoring- Private Day Train Accelerator (just pup & trainer)
Self Paced Self Study- Videos, Materials, and Coursework Only
Puppy Kindergarten
Therapy or Service Programs
Enrichment Daycare or Boarding
Canine Confidence Course Memberships
Stay & Learn Accelerator
Other Services
Dog's Info
Name
*
Breed and Color
Gender
Male
Female
Weight in lbs
Age
Is your dog spayed /neutered?
*
Neutered
Spayed
No
Is the dog up to date on ALL his/her vaccinations (Rabies, Distemper, Parvo, Bordatella); flea, tick, and heartworm prevetion? Please have your vet forward your pet's medical records to animalacademyec@gmail.com
*
Yes
No
Is dog your dog crate trained?
Yes
No
Does your dog show any signs of anxiety?
Yes
No
If yes, please give brief description of the anxiety.
*
Is dog in good and healthy condition?
Yes
No
Please list any medications, allergies, illnesses, special conditions or medical concerns involving your pup. If none type N/A
*
My dog gets along well with:
Most other dogs
Some other dogs
No other dogs / I don’t know
Cats
Strangers
Kids
Has your dog ever at growled, snapped, or bitten another animal or human?
Yes, Human
Yes, another dog
Yes, Other
No
If Yes, did your dog draw blood?
Yes
No
Why did you get a dog? Describe your ideal life with your dog.
What are your top 3 goals with your dog?
Any special instructions or things you would like us to know?
How did you hear about us?
*
Please Select
Rescue
Facebook
Vet referral
Referred by a friend
Pet Sitter/Dog Walker
Referred by groomer/other pet service
Trainer referred
Instagram
YouTube
Online Ads
Google Search
Yelp
If referred, specifically by who? We like to thank our friends!
*
If enrolled, how will you be paying your tuition? We accept all major credit cards, Paypal, Venmo, check and cash. All electronic payments have an additional convenience fee. Tuition payment is required to hold your spot.
Cash
Check
Paypal
Venmo
Major Credit Card
Upon receipt of your application, you will be contacted by a member of our team to find a program that best suits your needs. If you have more questions please contact us at (850) 739-2878. We are always happy to help.
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