Private Training Request Form Name * First Name Last Name Phone (###) ### #### Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Dog's Name * Dog's Birthday * Breed * Dog's Gender * Male Female Spayed/Neutered? * Yes No Vet Clinic * Vet Clinic Phone * (###) ### #### What are you needing help with? * Dog's behavior concerns and your goals for the training. What is your availability? * List 2-3 times you are available. Lesson appointments are generally conducted Tuesday-Saturday. Time slots are not guaranteed and may fill quickly. I Understand by checking "Submit" that I am agreeing to The Well Read Dog's policies . I also release The Well Read Dog of any liability in regards to injury or illness to myself, dog or other present parties as well as any damage that may be incured. * I agree *This form is answered by a real human. Please allow time for our reply. Thank you for submitting a private lesson request form. We will get back with you as soon as possible!Have a beautiful day!