Name *

First Name

Last Name

Phone *

(###)

###

####

Is your companion on any antidepressant medication such as prozac? *

Yes

No

Behaviors *

Does the dog have a history of any of the following behaviors or tendencies?

Reactivity towards humans, such as biting, nipping, growling, barking or showing body language that is uncomfortable

Reactivity towards dogs, such as biting, nipping, growling, barking, or showing body language that is uncomfortable

Reactivity towards things, such as bicycles, cars, skateboards, etc.

Anxiety, such as spooking, whining, excessive panting, quivering/shaking, hiding or social avoidance

Overexcitement, towards people, dogs or toys, such as high energy, jumping, vocalizing, whining, fixating

Prey drive, such as chasing, whining, destroying things or barking when there is space from a person or other animal

Separation anxiety, such as whining, destroying things or barking when there is space from a person or other animal

Other, please describe behavioral state below

No behaviors

At this time we don't accept severely aggressive or red zone dogs. I understand that this is a group workshop or session and I am confident that I can handle the dog safely around other dogs, humans, and distractions. *

Yes

No

This workshop is intended for personal use only. Attendees agree to not share information or techniques learned or gained at the Student of the Dog workshop or session for compensation, in a professional manner or through social interactions or media. *

I understand and will not teach or share the Jentle Method or what I learn at the workshop or session

This workshop is not a good match for meThis workshop is not a good match for me

This workshop is active and engaging. We ask that participants and dogs attending are healthy and willing to stand or move for 3 hours (the length of the workshop) *

I understand

This is too much for us

Our emails can sometimes get lost in spam or junk folders. If you have not heard from us in 2-3 days please check these email folders. You are also welcome send us an email and we will send you the details again. *

I understand

I have read and understand all information necessary for attending this workshop. *

Yes

No

Name *

First Name

Last Name

Phone *

(###)

###

####

Is your companion on any antidepressant medication such as prozac? *

Yes

No

Behaviors *

Does the dog have a history of any of the following behaviors or tendencies?

Reactivity towards humans, such as biting, nipping, growling, barking or showing body language that is uncomfortable

Reactivity towards dogs, such as biting, nipping, growling, barking, or showing body language that is uncomfortable

Reactivity towards things, such as bicycles, cars, skateboards, etc.

Anxiety, such as spooking, whining, excessive panting, quivering/shaking, hiding or social avoidance

Overexcitement, towards people, dogs or toys, such as high energy, jumping, vocalizing, whining, fixating

Prey drive, such as chasing, whining, destroying things or barking when there is space from a person or other animal

Separation anxiety, such as whining, destroying things or barking when there is space from a person or other animal

Other, please describe behavioral state below

No behaviors

At this time we don't accept severely aggressive or red zone dogs. I understand that this is a group workshop or session and I am confident that I can handle the dog safely around other dogs, humans, and distractions. *

Yes

No

This workshop is intended for personal use only. Attendees agree to not share information or techniques learned or gained at the Student of the Dog workshop or session for compensation, in a professional manner or through social interactions or media. *

I understand and will not teach or share the Jentle Method or what I learn at the workshop or session

This workshop is not a good match for me

This workshop is active and engaging. We ask that participants and dogs attending are healthy and willing to stand or move for 3 hours (the length of the workshop) *

I understand

This is too much for us

Our emails can sometimes get lost in spam or junk folders. If you have not heard from us in 2-3 days please check these email folders. You are also welcome send us an email and we will send you the details again. *

I understand

I have read and understand all information necessary for attending this workshop. *

Yes

No