Pre-Training Evaluation Request

Your Full Name (required)
Your Email* (required)
Your Mobile Number* (required)

Dog's Name* Dog's Breed*

Dog's Age*

Dog's Sex* MaleFemale

Spayed or Neutered*

Current on Vaccines*

How long you owned your dog?*
Brief Description of your goals or what you would like assistance with:

Please select below the preferred day(s) of the week and time(s) of the day to schedule your free pre-training evaluation. Evaluations average 30 minutes. Owners must provide current vaccination records from a licensed veterinarian at the pre-training evaluation. Our staff will contact you shortly to confirm your appointment time. Check all of the times of each day that you are available.
1. Monday 11 am12 pm3 pm4 pm5 pm
2. Tuesday 11 am12 pm3 pm4 pm5 pm
3. Wednesday 11 am12 pm3 pm4 pm5 pm
4. Thursday 11 am12 pm3 pm4 pm5 pm
5. Friday 11 am12 pm3 pm4 pm5 pm

Preferred time of the day K-9 Village can call you to confirm your appointment?*
MorningAfternoonEither

How did you learn about us?*
Internet/Search EngineK-9 Village Client ReferralVeterinary ReferralOther

If other please describe: