Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Secondary contact

First Name

Last Name

Phone secondary contact

(###)

###

####

Gender *

Male

Female

Spayed/Neutered? *

Yes

No

Shots up to date? *

Yes

No

Does your dog have a bite history? *

No

Yes, with other dogs

Yes, with people

Yes, with both dogs and people

Interested in *

Dog Training

Boarding

Doggie Daycare

Become a Trainer

Online Training

Has your dog ever been to another daycare/boarding facility? *

Yes, without any problems

Yes, but had problems

No

How do you socialize your dog? *

Click all that apply

Dog parks/beach

With dogs of friends, family and neighbors

Other doggie daycare facility

My dog is not socialized

Has your dog ever chewed his bedding? *

Yes

No

Does your dog tolerate being crated or kenneled? *

Yes

No (please explain below)

Disclaimer *

I am familiar with LAK9's training methods, techniques and programs. If not, please be sure to check out our Services.

I agree