Handler Information
First Name
*
Last Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
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Dog Information
Dog Name
*
Breed of Dog
*
Age of Dog
*
Gender of Dog
*
Please Select
Male
Female
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Training Options
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( X )
15 Minute Phone Call
$
10.00
30 Minute Video Call
$
40.00
30 Minute Phone Call
$
25.00
45 Minute Video Call
$
65.00
60 Minute Video Call
$
90.00
90 Minute Video Call
$
150.00
Where did you hear about us?
Vet
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Other
Once you submit my application, you will receive a email or text, which will reconfirm you're registration and provide final instructions on on starting you're training. If I do not receive the confirmation email, I will first check my spam folder and, if necessary, follow up with Jason to confirm that my application has been received.
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