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Thank you for choosing JRB K-9 to support your dog’s behavioral journey. Whether you're working through reactivity, anxiety, or just need help with the basics, we're here to help strengthen the bond between you and your dog.

Please fill out the form below to get started. Once we receive your information, we’ll be in touch to schedule your first session.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Dog's Name

Dog's Age

Dog's Breed

Dog's Gender

How long have you owned this dog?

Is your dog spayed or neutered?

Which vaccines are current for your dog?

Rabies

DAPP

Bordetella

Is your dog licensed with the city or county?

Does your dog have any health issues?

Please tell us more about your dog's behaviors:

Has your dog previously received any obedience training?

Is your dog housebroken?

Does your dog mount people or objects?

Is your dog anxious?

Is your dog fearful?

Is your dog shy?

Does your dog urinate when excited?

Is your dog overactive?

Does your dog jump on people or counters?

Is your dog aggressive with people or other dogs?

Does your dog guard food or toys?

Are your dogs meals scheduled?

Does your dog bark or whine?

Does your dog chew destructively?

Is your dog a door dasher?

Does your dog come when called?

Does your dog pull when on lead (leash)?

Does your dog have a bite history?

Does your dog play bite?

Is your dog currently on any medications?

Anything else we should know about your dog?

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