To determine how we can best help you, we need some basic information about your dog.  Please fill out this brief survey, and we will e-mail you to let you know how we can help with your dog's problems and provide you with our current pricing.  If you have more than one dog, you may want to submit more than one form.  All information will be held in strict confidence.  You will receive only the information you request and no more.  Your personal information will not be sold, given or distributed to any other company or person.   

You may want to see if you are in our service area before you take the time to fill out the form. We are located northwest of Atlanta, Georgia and service Paulding and West Cobb Counties.

1. What is your dog's name?


2. Is your dog...........


Purebred?     Mixed Breed? 

3. If purebred, what breed is your dog? If mixed, what are the two or three dominant breeds (if they are known)?


Primary Breed 
Secondary Mix
Additional Mix 

4. Is your dog...........


  Male?    Female? 

5. Is your dog spayed or neutered? 


  Yes     No  

6. Where did you get your dog?     


7. How old is your dog or puppy?    


8. How old was your dog when you brought him/her home?


9. Briefly tell us about any problems you are having with your dog, or why you are seeking training.
10. What is your name?  
First Name
Last Name
11. What is your phone number (including area code)?


12. What is your 5 digit zip code?


13. What is your e-mail address?

Please enter your e-mail a second time. (accuracy check)

14. How did you hear about us?

Contact Educating Rover