Client Registration Form Please complete this New Client Registration form If you would prefer to download the form and email it to us please click here. If you are already a Follow My Lead member there is no need to complete this form. Contact the staff to receive access to the members area. Registration Form Name First Last PhoneEmail Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Referred byAppointment AvailabilityMorningEarly AfternoonLate AfternoonEveningsSelect all that applyDays that you have NO availabilityDog DetailsDog's NameBreedAgeSexMaleFemaleSpay / NeuterYesNoVeterinarianMedical Problems / MedicationsHas your dog ever bitten or injured a person / animal?NoYesPlease ExplainHow did you obtain your dog?How long have you been together?Housebroken?NoYesCrate Trained?NoYesHow does the dog spend most of its day?i.e. indoor / outdoor / crate / confined / free roam / with or without supervisionSleeping arrangements?Brand of Dog FoodHow much / oftenHas your dog had previous formal training?NoYesPlease DescribeDaily Exercise RoutineObjective from Training Package PurchasedOther People in HouseholdOther Pets in HouseholdAdditional Notes / CommentsMost recent vaccinations & spay/neuter confirmation Drop files here or Pease upload these documents or bring a copy of the in with you.CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.