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Tell Us About Your Dog

Please share some information about your dog, your objectives, and the best way to contact you. We are excited to connect with you.

Contact Information

Primary Owner/Handler Name*

Phone*

Email*

Additional Owner/Handler Name

Phone

Email

Address*

Dog's Information

Primary Dog's Name*

Age*

Sex*

Male

Female

Breed

Additional Dog's Name

Age

Sex

Male

Female

Breed

Any other dog(s) involved with your dogs.

Has your dog(s) ever bitten a human?*

Yes

No

Has your dog(s) ever bitten an animal?*

Yes

No

If you answered yes to either of the last two questions please explain.

Tell us why you are reaching out. Please include any behaviors you may need help with.

Have you already received or are receiving training? If so explain what you feel maybe missing.

What is the goal you wish to achieve with your dog?*

What services are you interested in from Elysium K9?*

Private Lessons

Classes

Day Train Program

Board & Train Program

Virtual Lesson

Consult

Other

If Other, please explain.

How did you learn about Elysium K9?*

Facebook

Instagram

Website

Referral

Other

Tell us who referred you.

Signature

Let's Train!

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Full Name

Email

Phone

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Thanks for submitting!

Columbus, Ohio
Email: support@ElysiumK9.net

Tel: 614-632-3045

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