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The Sampson Standard Training Request Form

Thank you for your interest in training with The Sampson Standard! Please complete this form so I can better understand your dog, your goals, and whether my reward-based, force-free training approach is the right fit.

Submitting this form does not guarantee availability or confirm a training appointment. I’ll review your request and follow up with the recommended next step.

Client Information

Full Name:

Phone Number

Email Address

Address/Training Location

How did you hear about The Sampson Standard?

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F

Dog Information

Name(s)

Breed/Mix:

Age(s):

Sex:

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B
C

Spayed/Neutered?

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B
C

Approximate Weight (if known)

Is Your Pet Current on Rabies Vaccination?

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B
C

Any medical conditions, allergies, pain concerns, medications or recent health changes?

Training Request

What Type of Training Support Are You Interested In? (check all that apply)

What are your top 3 training goals?

What is the primary concern you want help with?

How long has this been happening?

Is the concern improving, worsening or staying about the same?

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B
C
D

Training Focus Areas

I would like help with the following training areas: (check all that apply)

What cues does your dog already know?

Behavior & Safety

Has your dog ever growled, snapped, bitten, or lunged at a person?

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B
C

Has your dog ever growled, snapped, bitten, or lunged at another animal?

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B
C

If yes or unsure to previous questions, please explain.

Does your dog guard food, treats, toys, beds, people, or space?

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B
C

Does your dog show fear or reactivity toward any of the following? (check all that apply)

Does your dog have separation anxiety or struggle being left alone?

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B
C

Does your dog have any escape risk? (check all that apply)

Anything Else You'd Like to Share About Your Pet? (optional)

Pet Photo (optional) - You’re welcome to upload a photo of your pet so I can put a face to the name; however, this is optional and not required to submit the form.

Training Expectations

Are you comfortable with reward-based, force-free training methods?

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B
C

Are you willing to practice short training exercises between sessions?

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B
C

How much practice time feels realistic for your household?

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B
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D

Who in the household will be involved in training?

Availability

What are your preferred days/times for training?

Acknowledgement

By checking the box below, you indicate understanding of and agreement with the following: 
1) I understand this form does not confirm a training appointment.
2) I understand The Sampson Standard uses reward-based, force-free training methods.
3) I understand training results are not guaranteed and depend on consistency, practice, health, environment, and follow-through.
4) I understand some behavior concerns may be outside The Sampson Standard’s current training scope and may require referral to another professional.
5) I understand private training clients may be required to sign a Training Service Agreement before services begin.

I Have Read and Understand the Acknowledgements Above.