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 by Appointment AvailabilityMorningEarly AfternoonLate AfternoonEveningsSelect all that applyDays that you have NO availability Dog DetailsDog's Name Breed Age Sex Male Female Spay / Neuter Yes No Veterinarian Medical Problems / MedicationsHas your dog ever bitten or injured a person / animal? No Yes Please ExplainHow did you obtain your dog? How long have you been together? Housebroken? No Yes Crate Trained? No Yes How does the dog spend most of its day?i.e. indoor / outdoor / crate / confined / free roam / with or without supervisionSleeping arrangements? Brand of Dog Food How much / often Has your dog had previous formal training? No Yes Please DescribeDaily Exercise Routine Objective from Training Package PurchasedOther People in Household Other Pets in Household Additional Notes / CommentsMost recent vaccinations & spay/neuter confirmation Drop files here or Select files Max. file size: 10 MB. Pease upload these documents or bring a copy of the in with you.Join our Monthly Newsletter? Yes CAPTCHACommentsThis field is for validation purposes and should be left unchanged.