Chill! for Reactive Dogs Profile Form Please complete this profile for your dog and we will be in touch to discuss if your dog is a good fit for the Chill! class. Thank you for your interest in our Chill! for Reactive Dogs class. We understand how challenging it can be to have a dog that reacts aggressively to other dogs or strangers. Or perhaps your dog is just so wound up when he/she sees other dogs or people that their behaviors are over-the-top excited, unintentionally sending aggressive signals to others. In this six-week class, your dog will learn how to maintain his/her composure in the presence of others and behave in non-aggressive ways. You will learn how to handle your dog confidently in public and manage your dog’s environment and behavior for peaceful interactions with people and dogs. The class uses positive reinforcement clicker training methods to modify behavior. We maintain a limited enrollment for this class so you have a high degree of personal attention from the instructors. Because we limit the enrollment in each class, we review each dog’s behavior profile carefully and speak with each owner in advance to ensure the class composition is conducive to the best experience for you and your dog. Please complete the attached profile and click the Submit button. Carol Peter, CPDT-KA and owner of Cold Nose Companions Dog Training, will call you to discuss your goals for your dog and his/her current reactive behavior before completing your registration for the class. Client(s) Name*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Best time to call*Email* Enter Email Confirm Email Tell us about your dog:Dog's Name*Breed(s)*Age*Dog's Gender*Intact FemaleSpayed FemaleIntact MaleNeutered MaleWhere did you get your dog?*How long ago?*Please describe how your dog reacts to unfamiliar dogs. In what situations/locations?*Does your dog react any differently with familiar dogs?*Please describe how your dog reacts to unfamiliar people. In what situations/locations?*Has your dog ever bitten or injured a person or animal? If yes, please describe the circumstances.*What type of exercise does your dog get? How often?*Is there any other information about your dog that would be helpful for us to know?Tell us about your householdPeople living in your home (please note adult or child)*Other pets in your home*How often do you have visitors? Who?*Tell us about prior trainingHave you ever taken group training classes with your dog before? Please describe.*Have you ever had private training in your home for your dog? Please describe.*Please let us know how you heard of us.*CAPTCHAEmailThis field is for validation purposes and should be left unchanged.