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Zip DOG INFORMATION (please circle to indicate whether this will be each dog’s first time going through Rattlesnake Aversion Training or a Re-Train) Dog 1 Name Breed Age New or Re-train Dog 2 Name Breed Age New or Re-train Dog 3 Name Breed Age New or Re-train Dog 4 Name Breed Age New or Re-train Please name any behavior problems (i.e. Aggression towards people or animals, etc.) that may affect training Health problems (i.e. current medications, food allergies, physical hand.

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