Mannerly Mutts Making Dog and Owner Dreams Come True in York Maine
(207) 361-4395 Robin Rubin, Head Trainer Cell Phone
(508) 735-8630 Robert Rubin, Sales and Daycare Cell Phone
37 Paul Street York Beach, Maine 03910
mannerlymutts.rubin@gmail.com
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Please fill out the following form completely. We will use this to plan your training experience.
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Name
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First
Last
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Email
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Phone Number
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What is your dog's name?
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How old is your dog?
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What breed is your dog?
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Is your dog up to date on their vaccinations and can you provide proof of that?
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Yes
No
Puppy pre most vaccinations
Why did you select this particular dog or breed?
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Age and/or Physical disabilities
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Not a legal adult
Adult age with no physical issues
I have physical handling issue due to age, injury, or sickness
Please detail any issues that may make training hard for you to participate in.
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What has been your ownership history with dogs to date?
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How many days per week are you willing to train your dog?
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How much time per day are you willing to train your dog?
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Does your dog require house training?
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Yes
No
Is inconsistent at home
Not sure if house trained other places than home
What has been your history to date of training dogs?
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Have your previous dog training results been satisfactory to you?
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Yes
No
Not Applicable
If you have participated in dog training in the past but not finished, please explain why.
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Please describe goals for training your dog.
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Please describe interactions your dog or dogs have with adult family members, friends, or other adult.
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Please describe the exposure or interactions your dog or dogs have with children.
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Please list the household family members interacting with your dog(s) now.
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List any and all aggressive interactions your dog or dogs have had with adults and children.
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List any and all aggressive interactions your dog or dogs have had with other dogs.
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List and describe any and all behavioral problems that you have observed in your dog(s)
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Please describe any reactiveness you have seen between your dog or dogs and strange dogs and/or humans.
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Does your dog have anxiety or fear issues?
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Not at all
Occasionally in unfamiliar situations
My dog is fearful of everything
Have you received any professional training help with your current dog or dogs referenced in this questionaire?
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Please describe the frequency of leashed walks, unleashed exercise or dog sports that your dog(s) are currently involved in.
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Please describe the socialization and family activity experiences that your dog or dogs have experienced to date. (ie vacations, hikes, parks visited, strange houses visited, or commercial retail stores visited).
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What type of environment does your dog or dogs live in (ie house, apartment, outside, kennel)?
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What items has your dog destroyed inside or outside your house?
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Which service are you most interested in?
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K911 Board and Train Program
Pack Learning Day Train Program
Private Weekly Lessons
What days and times are best for you to take lessons or leave your dog wiith us?
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If you were referred by someone, please let us know who.
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Would you like our newsletter sent to you?
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NOTE: ALL FIELDS ARE REQUIRED ABOVE. YOUR FORM WILL NOT GO THROUGH UNLESS YOU COMPLETE EACH QUESTION, EVEN IF IT'S WITH A "N/A".