RSVP 2 — The Speckled Hearts Project

Is your dog a Speckled Heart?

Have you been to trainers, veterinarians and all over the internet trying to find ways to help them? Apply here to see if our scholarship could be a good fit for you and your special pup! This is a program is reserved for naughty dogs with complex behavioral challenges. Fill out this application for a private consultation during which we can determine whether your dog may qualify for scholarship assistance!

Behavior Consultation

Name

First Name

Last Name

How did you hear about this program?

Please state your dog's name, breed, gender and age

Where did you get this dog?

How long have you had this dog?

How many people are in your home?

Please describe in detail the behavior issues you need help with

Has this dog bitten anyone? Did the bites break skin/require medical attention? Do you have photos?

Please provide some information regarding trainers you have worked with and the content of those sessions

Please describe the impacts that the work you have done has had on your dog's behavior, both positive and negative. This can include professional as well as work you have done on your own

Have you discussed these issues with a vet?

Is the dog on any medication? If so, please list all medications and dosage detail.

Please add any additional information you'd like us to know.

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Is your dog a Speckled Heart?

SPECKLED HEARTS PROJECT