SECTION A (REQUIRED)

Name

First Name

Last Name

Spouse or Partner's Name

(if applicable)

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Which class are you registering for?

Select one option from dropdown list.

Dog's Name

Breed Of Dog

Sex Of Dog

Male

Female

Is The Dog Neutered?

Yes

Age Of Dog

How Long Have You Owned The Dog?

Where did you get the dog from?

Has the dog had any previous training?

Yes

If so, where?

What behaviours (if any) does he/she know? ie. sit, down, stay, etc.

What do you hope to accomplish/what are your training goals for your dog?

SECTION B (YOU MAY SKIP TO THE LAST QUESTION IF YOU ARE INTERESTED IN GROUP CLASSES OR TRICKS TRAINING)

How many adults live in your household?

How many children live in your household?

What are the ages of the children in your household?

Are there other pets in the household? Please list.

Is the dog house trained?

Is the dog crate trained?

Where is the dog when no one is home?

Where does the dog sleep at night?

Does the dog get taken for walks?

If so, what type of leash/collar system is used?

Are there any issues when walking?

Has the dog exhibited any aggression towards people?

Has the dog bitten anyone?

Has the dog exhibited any aggression towards other dogs?

What are your main issues with the dog at this time?

What are your minor issues with the dog at this time?

How did you hear about us?