Monthly Maintenance Sessions Name* First Last Email* Family member's names and ages (if under 18)Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Home Phone*Cell Phone*Dog's Name*Breed*Sex*Dog's Birthday* Which training session have you taken with us?Group TrainingPuppy SocializationOtherWhat vet practice do you use?*Please indicate the date your dog is due for DHLPP* Please indicate the date your dog is due for Rabies* Please list the behaviors your dog has learned that wish to maintain?*Which areas do you feel need additional reinforcement?*Has your dog changed in any way since we've seen them last? If Yes, please explain.* Yes I agree to be added to your mailing list to receive email newsletters that include training tips and email-only discounts. Welcome! We are so pleased that you have chosen Paws and Possibilities, LLC, as your access to creating the relationship with your pet that you have always dreamed of having. During the training process, you can expect to learn how to communicate effectively with your pet and we will create simple plans to address your unique situation. We know that you have a choice when it comes to animal trainers, and we appreciate your business. If, at any point in the training process, you are not satisfied with the process, please let us know so that we may remedy the situation. It is our goal to exceed your expectations.Most of our business comes from you referring your family, friends and neighbors. If you know anyone who you think would benefit from our training program, we appreciate you passing along their information to us so that we may contact them.* Cancellation Policy: We schedule our appointments to include travel time to and from your home. If you need to cancel, kindly give 24 hours notice. Except for an emergency or an illness, you will forfeit one of your sessions for same-day cancellations. Liability Disclaimer: Animals are unpredictable. I hereby agree to indemnify and hold harmless Paws and Possibilities, LLC, its owner, employees, and agents from all claims, or claims by any member of my family or any other person accompanying me at any training sessions of Paws and Possibilities, LLC, thereto as a result of any action by any dog, including my own. Copyright Protection: I hereby agree not to copy or to release to any other persons the training materials and handouts that are given to me as a client of Paws and Possibilities, LLC, and I fully understand that all written material from Paws and Possibilities, LLC, is copyrighted and is protected under the copyright laws. I agree and accept the information stated in this agreement. PhoneThis field is for validation purposes and should be left unchanged.