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Rooted Dog Training

Application form

Ready to take the next step with your dog? Complete the application below to apply to work with me. I’ll review your details and, if we’re a good fit, we can get started on creating a happier, more confident partnership with your dog.

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:

Training Programme

Group Classes

Scentwork

Please provide a suitable time for you to be contacted *

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