Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. I Participation Breed Name *AddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone number (s) *Email *Preferred Contact *phoneemailtextEmergency Contact *FirstLastEmergency Contact Number *Dog InformationDog's Name *Dog's Age *Dog's Breed *How long have you had your dog?Where did you get your dog from? *breederrescueshelterrehomedotherHave you particpated in training classes before? *YesNoThird ChoiceIf yes, what type of training?What inspired you to sign up for this workshop? *What would you most like to learn or experience? *Participation Acknowledgment & Agreement This workshop focuses on relational co-regulation between humans and dogs and is educational and experiential in nature. This workshop is not psychotherapy, medical care, or veterinary care. No diagnosis or treatment is being provided. Participation does not guarantee specific behavioral outcomes. Participants remain responsible for their own well-being and their dog’s behavior and safety. I agree to the above Participation AgreementyesnoWorkshop Format — Two Day Structure Day 1 (Human-Focused Foundation) Understanding nervous system regulation in humans and dogs How regulation emerges within the relational field between species Observational skills: reading canine body language and stress signals Human awareness practices that influence the dog–human system Between Sessions Participants spend the week practicing observation and simple regulation exercises with their dogs at home. This integration week allows the learning to move from theory into lived experience. Day 2 (Integration & Application) Reflection on observations from the week of practice Deepening relational awareness between human and dog Practical exercises supporting calm, orientation, and connection I understand and agree to the Workshop Format yesnoBy adding my name, date and time, I am giving consent for my informationyes, I consentno, i do not consentName *FirstLastDate / TimeDateTimeSubmit
