Rooted Dog Training

Registration form

If you are enquiring about our dog training services please fill in the form below with as much detail and as accurately as possible. This form needs to be completed and returned prior to booking your initial assessment. If you have Multi-dog household, with all dogs needing training, please fill out a separate form.

Today's Date

First name

Last name

Email

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Dog/s name

Breed

Dog's birthday

Day

Month

Year

Dogs Age

Neutered / Spayed

Yes

No

Please tick the relevant boxes

Microchipped

Vaccinated

Flea/Worm treatment up to date

Please explain your training needs in as much detail as possible including any suspected or ongoing health concerns

Has your dog ever bitten a person/ and or dog?

Yes

No

If you answered "yes" please describe in detail

OPTIONAL Please attach any relevant videos or pictures you feel are necessary

Interested in:

1:1 training

Group Classes

Day train

Please provide a suitable time for you to be contacted

How did you hear about us?

Yes, subscribe me to your newsletter.