New Client Application–Behavior Modification

New Client Application--Behavior Modification

New Client Application--Behavior Modification

Fill out with as much detail as you can and to the best of your ability. There is no such thing as too much detail!

Human Information

Basic Contact Information
Please note your preferred phone number

Medical Information

(like arthritis, loss of hearing, joint disorders, IBD, lyme disease, etc)
All SJC clients are required to be up to date on their rabies or be medically exempt with or without a titer level. Please be prepared to have a copy of this during your initial lesson.

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