Pre-Puppy Consultation Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Who can we thank for referring you to us? Please list the other HUMAN members of your household including their NAMES. If children reside with you, please also include their AGES. Please list all other PETS in your home, including their SPECIES, AGE, SEX, and whether they are SPAYED/NEUTERED. Dog's Information Dog's Birthdate (if known) * Dog's Breed (if known) * Dog's Sex (if known) * From where do you plan to get your puppy? * If known, please include the name of the breeder, shelter, rescue or person. When do you plan on bringing your new puppy home? * Do you plan to train your puppy on your own, with a private trainer, or enroll your dog in a puppy class or puppy social group? * Ho do you envision your life with your new puppy? What do you hope to gain from your Pre-Puppy Consultation? Is there anything else that you'd like to share? Thank you!