Matchmaking Intake Form

Please fill out all required fields for form to properly submit. To check if form has submitted, click "Fill out intake form" button again.

"*" indicates required fields

Name*

Preferred Pronouns

Please list the other humans in the home and ages of children in the home.*

Please list the other types of animals and their ages in the home. Please also include if your other pets are neutered/spayed or intact.*

Type of home*

Apartment, Condo, House with/without fenced yard, etc.

Address*

Street Address City State ZIP Code

Phone*

Email*

Best time/day for our first session

How did you hear about us?*

Are you interested in a rescue dog or a purebred dog from a breeder?*

Are you looking for a male dog or a female dog?*

What age dog would you prefer?*

What size dog are you interested in finding?

What coat type are you looking for?

What breeds of dogs are you interested in?

What is your budget for acquiring a dog?

Are you willing to travel to acquire your new pet? If so, how far?

How long will your new pet be left alone each day?

What activities are you interested in doing with your new dog?

How much time are you willing to dedicate to training your new dog on a daily basis?

What type of energy level are you looking for?

I understand that the package will expire four months from the purchase date. Please initial.*

I understand that additional travel fees may apply depending on where I live. Please initial.*

I understand that in the event of severe weather or other emergency the lesson may be postponed to the following week at the trainers discretion. Please initial.*

I understand that children under the age of 12 must be accompanied by a non-participating adult. Please initial.*

I understand that dogs must be up to date for their age on vaccinations in order to attend and will require proof of vaccinations. Please initial.*

I accept all liability if any humans or dogs are harmed during training sessions. Please initial.*

I understand that if I fail to give 24 hours notice to cancel my lesson, I will be charged a $50 no show fee. Please initial.*

I agree to have my dog photographed or videoed and shared on the website or social media.

I agree to have me and my dog photographed or videoed and shared on the website or social media.

919-645-8203

Info@howlingmoonpetcare.com

Matchmaking Intake Form

Howling Moon Pet Care