Customized Dog Training | Soul Healing Canine

Let’s Work Together

Every training journey begins with an in-home private session, where I meet you and your dog in the space where life naturally unfolds. This visit allows us to connect in a calm, familiar environment one where your dog’s true behavior can be observed, and your family’s unique rhythm can be honored. During our time together (typically 1–2 hours), we’ll explore your concerns, observe behavior patterns, and begin laying the groundwork for a custom training path. Together, we’ll create a plan that feels aligned with your goals, lifestyle, and the energy of your home.

Contact Us

First Name:

Last Name:

Phone:

Is it okay for us to text you regarding scheduling, training updates, or emergencies?

Yes

No

~PHYSICAL ADDRESS~

_________________________

Address Line 1:

Address Line 2:

City:

State:

ZIP Code:

How did you hear about Soul Healing Canine?

~DOG INFORMATION~

_______________________

Dog(s) Name:

Dog(s) Age or Estimation:

Breed of Dog(s) or Best Guess:

Where did you obtain your dog(s)? If Rescue or Breeder, please list name.

Dog(s) Weight or Estimation:

Is dog(s) played/neutered?

Yes

No

Unknown / Too Young

~TRAINING BACKGROUND~

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Is your dog crate trained?

Yes

No

If no, please explain where your dog stays when unsupervised and why crate training has not been used.

Has your dog had any prior formal training? If so, please list the trainer or business name.

What training tools are you currently using with your dog?

~HEALTH & NUTRITION~

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What brand of food are you currently feeding?

Are you open to learning more about healthier nutrition options for your dog?

Yes

No

Is your dog currently on any medications or supplements?

What flea and tick prevention do you use?

Is your dog on heartworm prevention?

Yes

No

Unknown

When is your dog due for their rabies vaccine?

~VETERINARY INFORMATION~

_________________________________

Primary Veterinary Clinic Name

Veterinary Clinic Location (City/State)

Veterinary Phone Number

~EMERGENCY CONTACT & AUTHORIZATION~

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Emergency Contact Name

Emergency Contact Phone Number

Relationship to Dog / Owner

If you cannot be reached, do you authorize Soul Healing Canine to seek emergency veterinary care for your dog at your expense?

Yes

No (**Emergency authorization is required to participate in services.**)

~GETTING STARTED REQUIREMENT~

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• In-Home Consultation Acknowledgement •

I understand that to begin services with Soul Healing Canine, an in-home consultation is required and carries a fee of $100. This consultation allows for proper assessment, goal setting, and program placement.

I Understand & Agree

~SAFETY PRE-SCREENING~

_______________________________

• Dog Bite History Disclosure •

Has your dog ever made physical contact using teeth on a human or another animal — even once — regardless of whether it caused a puncture, bruise, or visible injury?

Yes

No

• Reactivity Clarification•

Does your dog display barking, growling, lunging, or reactivity without physical contact?

Yes

No

~REQUIRED AGREEMENTS~

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I understand dog training involves inherent risks and I voluntarily assume responsibility for any injury, illness, or damage.

I release and hold harmless Soul Healing Canine from claims arising from participation in services.

I accept full responsibility for injury or damage caused by my dog or children in my care.

I understand illness or parasites may occur and Soul Healing Canine is not liable for related costs.

I understand services operate from a private home, not a commercial kennel.

I accept risks associated with exposure to other dogs.

I authorize vehicle transport and release liability related to transportation incidents.

I accept risks related to public and natural training environments.

I consent to professional training tools selected by the trainer.

I authorize muzzle use if necessary for safety.

Failure to disclose bite history results in immediate termination with no refund.

I accept full financial responsibility for emergency veterinary care.

Dogs with physical bite contact are not accepted.

Services may be terminated for safety or non-compliance without refund.

All payments are final and non-refundable. Chargebacks are not permitted.

Training Results Disclaimer

~FINAL CONFIRMATION~

___________________________

I confirm I have read, understood, and agree to all terms above and am authorized to make decisions for my dog.

I Agree

Sit. Stay. Align

Let’s Work Together

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