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Nymira's Canine Academy

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Training Request Form

First and Last name*

Email*

Phone*

Pet Name*

Breed*

*Please only include the most dominant breed. Do not add Mix/Mutt.

Age*

Sex*

What are you hoping to accomplish from training?*

What are you currently struggling with?*

*Please thoroughly explain what behavioral issues your pet is showing

Other helpful information?

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