Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Please be sure to include apartment or unit # under Line 2

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Has your dog bitten another dog or person before? *

Defined as having either bruised, punctured, or drawn blood.

Yes

No

Is your dog on any psychotropic medications? *

ex: Prozac/fluoxetine, Xanax/alprazolam, Clomicalm/clomipramine, Zoloft/sertraline, Valium/diazepam, Paxil/paroxetine, etc

Yes

No

What service(s) are you interested in? *

Check all that apply - detailed information including prices can be found under SERVICES

Private Lessons

Day School Program

Puppy Fundamentals Program

Virtual Training with Otto

Shadow Program

I need help determining

Supreme K9 utilizes a variety of training tools. Are you familiar with any of the following: martingale collar, prong collar, slip leash, e-collar? *

Yes

No