Please Contact Me Request

To start a discussion, please fill in the requested information. Clicking on the SUBMIT button will deliver your responses to my desk and allow me to think about your concerns before communicating with you.
Thank you.

NOTE: Please do not use "carriage returns" or "colons" when you type - it messes up the import of the file.
Items in dark red are required fields
.


cow To cut down on "spam" please enter the number of feet a dog has here:A value is required.The password doesn't meet the specified strength. A value is required.Invalid format.Minimum number of characters not met.Exceeded maximum number of characters.The entered value is less than the minimum required.The entered value is greater than the maximum allowed.
(This is the "pass")

Activity that interests you. (select from pull down list):
Name: (First) (Last)
Street:
City: ST: Zip:
Phone:  Best time to call:
E-mail:
Please contact by:    phone, e-mail. 
When are you available for consultation/training? (example: weekdays after 5:00 pm)
Available

Please help me understand your dog by completing the following:

Dog's Name:    Breed:
Sex: male, female.        Status: Intact , Spayed , Neutered
Age (years or months): Owned how long?:  
How many dogs in the house?: Where does your dog Sleep?

Where did you get your dog?:
Are there children in the house?


Previous training?

Comments/Concerns: (Please, no carriage returns)


Click the submit button below and your information is automatically sent to me.
I will review the information and contact you.

Thank you.
Valerie

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