Primary Owner's Information *

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Training Goals *

Select all that apply

Puppy Socialization

Basic Manners (sit, stay, come, off leash skills, loose leash walking, public manners)

Exercise and Enrichment

Behavior Therapy (aggression, anxiety, reactivity)

Sport Training (scent work, ratting sports, agility, etc.)

Other

What services are you interested in? *

Select all that apply

Boarding/Board and Train

Daycare/Day Training

Private Coaching (one on one sessions with the trainer)

Not sure yet

Discount Eligibility

Select all that apply. NOTE: Discounts cannot be stacked. The single largest applicable discount will be applied to your service price for all eligible services. Discounts may only be applied to in person services.

Adoption discount (your dog was adopted from a rescue or shelter in the past year)

Pet care partners client discount (you are a client of a Pawsitive Pups Academy pet care provider partner)

Pet care partners staff discount (you or your employer are members of the pet care provider partner program)

Pet care partner potential discount (you have submitted your pet care service provider or employer to join our referral program)

Progressive pet breeder client discount (you purchased your pet from a Pawsitive Pups Academy progressive pet breeder partner)

Progressive pet breeder discount (you are a breeder who is or wishes to be a part of the Pawsitive Pups Academy progressive pet breeder partner program)