Brian Gisi Model Behavior Animal Training

*Name:
*Address Line 1:
Address Line 2:
*City:
*State:
*Zip Code:
*Phone Number:
Cell
Phone Number:
Home
*E-mail:
Occupation:
If possible, please provide more detail on how you found us. For example, do you know the name of any “Friend” or “Animal Care Organization” that recommended us? Do you know where you saw a “Other Ad”, “Brochure”, “Business Card”, or received a “Gift Certificate”?
*Animal's Name:
*Animal Type/Breed/Mix:
*Gender:
*Age (if known):
Years
Months
Identification:
*Where did you obtain your animal(s)?:
If "Other", please specify:
Are you aware if your animal(s) have experienced any significant psychological or physical trauma that might lead to behavioral problems or medical conditions? If so, please briefly explain:
*Has your animal(s) had any previous training?:
If so, who administered the training?:
Name:
What was the format?:
If "Other", please specify:
*Does your animal(s) have any food allergies or restrictions?:
*Do you exercise your animal(s), or do you have other individuals exercise your animal(s)?:
If others exercise your animal(s), please list individuals who help you out:
How long do you exercise your animal(s) on an average day?:
Minutes
Please send us the following information so we can better assist you. Please fill out any part that is applicable. Required fields are marked with *
*What feeding schedule is your animal(s) currently on?:
*Do you use treats with your animal(s)?:
If yes, do you use hard treats or soft treats?: 
Years
Months
Months
Years
Multiple animals in one household can have a dramatic influence on individual behavior. Therefore, it is important to enter basic information for any animals you have in your household (max. three).:
*Animal 1
Animal 2
Animal 3
Brian Gisi training orangutan
Brian Gisi
Animal Behavior Specialist
Phone: (407) 844-6059
E-mail: [email protected]

Please complete the form below if you are interested in our Custom OnSite Pet Training.
If yes, please describe food allergies or restrictions:
If "Business Card/Brochure/Ad/Gift Certificate”, where did you find? If "Friend", please give name. If "Other", please describe:
Brian Gisi's Model Behavior Animal Training
Yes No
Private Organization
Yes No
Hard Treats Soft Treats
Yes No