Step 1 of 7 - Select Online Dog Training Service Option 0% Select Online Dog Training Service Option Select an online dog training service.*Select answerIn-Person LessonsVirtual LessonsHow many dogs do you have that need training?*Select answerOne DogMultiple DogsHow many additional dogs need training? Quantity*Dog training services are for one dog. Put the total number of additional dogs that need training. It is a $100 fee per additional dog. Price: $100.00 Quantity Virtual Lessons* Price: In-Person Lessons* Price: Total $0.00 Dog's General Information Dog's Name*Breed*Sex*Select answerMale, IntactMale, NeuteredFemale, IntactFemale, SpayedDate of Birth* MM slash DD slash YYYY Current Weight*Ideal WeightDescribe your dog's daily physical exercise.*Include type of exercise, distance, time, etc. Dog's Medical History Primary Vet or Veterinary Hospital*Primary Vet's Contact Number*Has your dog undergone surgery?*Select answerYesNoList all past surgeries*DateReason for Surgery Click on the grey plus sign to add more rows if your dog had multiple surgeries.Is your dog under the direct care for a current medical condition?*Select answerYesNoList all current medical conditions being treated* Click on the grey plus sign to add more rows if your dog is being treated for multiple conditions.Is your dog on any prescription medications?*Select answerYesNoList all current prescription medications.* Click on the grey plus sign to add more rows if your dog is on multiple medications.Any current or ongoing physical conditions, injuries, or limitations?*Select answerYesNoSelect all physical conditions that apply* Arthritis Back/Neck Pain Elbow Dysplasia Hip Dysplasia Luxating Patella(s) Missing Limbs (ie: Tripod) Dog's Diet Details Diet Type*Select answerDry Dog Food (Kibble)Canned Dog FoodCommercial Raw Dog FoodHome Prepared Raw Dog FoodCommercial Cooked Dog FoodHome Cooked Dog FoodMixedFeeding Amount*Dog Food Brand Name*Describe your dog's home prepared diet and the ingredients fed.*Describe your dog's mixed diet and the types of foods fed.*List your dog's top three favorite foods/treats.* Click on the grey plus sign to add an additional row.Does your dog have any diet restrictions?*Select answerYesNoDescribe your dog's diet restrictions.*Is your dog on any supplements?*Select answerYesNoList all supplements.* Click on the grey plus sign to add more rows if your dog is on multiple supplements. Dog's Training History What do you need help with in order of importance?*Does your dog compete in sports or has a daily job?*Select answerYesNoList all sports and jobs your dog participates in.* Click on the grey plus sign to add more rows if your dog is participates in multiple sports/jobs.Do you use a flat collar?*Select answerYesNoDo you use a body harness?*Select answerYesNoDo you use a 4-6ft leash?*Select answerYesNoDo you use a retractable leash?*Select answerYesNoDo you use a prong collar?*Select answerYesNoDo you use an e-collar?*Select answerYesNoRate how well your dog knows how to sit.*ExcellentPretty goodNeutralNot so greatTerribleRate how well your dog knows how to lay down.*ExcellentPretty goodNeutralNot so greatTerribleRate how well your dog knows how to come when called.*ExcellentPretty goodNeutralNot so greatTerribleRate how well your dog knows how to loose leash walk.*ExcellentPretty goodNeutralNot so greatTerribleRate how well your dog knows how to stay.*ExcellentPretty goodNeutralNot so greatTerribleRate how well your dog is crate trained.*ExcellentPretty goodNeutralNot so greatTerribleRate your dogs impulse control to leave food and objects alone.*ExcellentPretty goodNeutralNot so greatTerribleRate how well your dog knows how to settle on their bed.*ExcellentPretty goodNeutralNot so greatTerribleRate how well your dog knows how to get off of furniture/countertops.*ExcellentPretty goodNeutralNot so greatTerribleRate how well your dog knows how to drop objects from his/her mouth.*ExcellentPretty goodNeutralNot so greatTerribleSelect all behaviors that apply to your dog.* Aggressive Anxious when alone Bites & nips hands, ankles, arms, etc. Chews on furniture Counter surfing Digs in yard Does not come when called Excessive attention seeking Excessive biting Escapes out of fence, doors, gates, etc. Fearful Guards food and/or toys Jumps on guests Jumps on furniture Pulls on leash Steals food, objects, and/or trash Stools in house and/or crate Urinates in house and/or crate Urinates when excited Describe how you have tried to fix the behaviors selected above and how long you have been dealing with those problems.*Please provide details on your dog's aggressive, anxious, or fearful behavior.*Has your dog bitten an adult?*Select answerYesNoHas your dog bitten a child?*Select answerYesNoHas your dog bitten another dog?*Select answerYesNoWas medical treatment required because of the bite?*Select answerYesNoPlease provide details on the event that lead to your dog bitting a person or another dog.*Provide the severity of the bite and any additional details leading up to the bite. Dog Owner's Information Dog Owner's Name* First Name Last Name Email* Enter Email Confirm Email Contact NumberLocation City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Preferred method of contact*Select answerEmailTextCallDo you have any physical limitations I need to be aware of?*Select answerYesNoPlease provide information on your physical limitations.*If dog owners have physical limitations, this needs to be considered when creating a training plan for their dog. I do not need details, I just need to know what limitations you have.Who is primarily in charge of training your dog?*Are there additional family members in the household?*Select answerYesNoList all additional family members below.*NameAgeRelationship Click on the grey plus sign to add more family members.List three things you like about your dog.* Click on the grey plus sign to add more rows.List three things you dislike about your dog.* Click on the grey plus sign to add more rows. Finish & Pay Terms & Conditions* I agree to the online dog training terms and conditions.Optimal Canine’s dog training services are not guaranteed. The client understands it is their responsibility to work on all homework assignments provided by the dog trainer to teach their dog better behavior. All training services need to be completed within 3 months after payment unless otherwise arranged with the dog trainer beforehand. All training services will be postponed if the dog begins to display symptoms of a condition that requires medical care. Training services may be postponed up to 4 weeks if a medical condition arises and may resume once medical clearance is provided from the dog’s primary care veterinarian. Training services will be canceled without refund if medical clearance is not provided. The client agrees to provide all necessary training equipment for all training sessions which includes but is not limited to treats, toys, leash, collar, and harness. The dog trainer will notify the client if specific equipment is required. Optimal Canine may use any pictures or videos of the dog(s) during training for marketing purposes without any liability or obligation to the client. The client understands that Optimal Canine has a 24 hour partial refund policy. Upon payment the client has 24 hours to request a partial refund. No refund will be issued after 24 hours. The client understands there are 24 hours to cancel a scheduled training session via telephone, text message, or email. If the session is not canceled and is a no-show, the client will be charged as though they have received one full training session. The dog trainer will not be held responsible for any injuries, including death, that may occur to the dog when in the care of the dog trainer. Additionally, the dog trainer will not be held responsible for any damage that may occur to the dog’s equipment when training with the dog trainer. The use of physical punishment is grounds to terminate services. Physical punishment includes but is not limited to, hitting the dog, choke chains, pinch collars, e-collars (“shock” collars). Coupon Total $0.00 EmailThis field is for validation purposes and should be left unchanged.