Welcome to our happy community!

CLIENT INFORMATION

First name

Last name

Email

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Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Additional Pet Parent Name

Additional Phone

Additional Email

DOG #1 INFORMATION

Name

Breed

Color

Age

Please specify weeks, months, or years.

Birthdate (if known)

Month

Day

Year

Sex

Intact male

Intact female

Neutered male

Spayed female

Weight

Any food allergies?

No

Yes

Any medications?

No

Yes

The following vaccinations are required for all adult dogs entering our building.

Rabies Vaccination
DHLPP Vaccination
Negative Fecal Exam*

*We recommend having the fecal test as soon as possible after you register. If the test is positive, your dog may need to be treated and retested before they can come to class.

Vaccine records

Negative fecal test result

DOG #2 INFORMATION

Name

Breed

Color

Age

Birthdate (if known)

Month

Day

Year

Sex

Intact male

Intact female

Neutered male

Spayed female

Weight

Any food allergies?

No

Yes

Any medications?

No

Yes

The following vaccinations are required for all adult dogs entering our building.

Rabies Vaccination
DHLPP Vaccination
Negative Fecal Exam*

*We recommend having the fecal test as soon as possible after you register. If the test is positive, your dog may need to be treated and retested before they can come to class.

Vaccine records

Negative fecal test result

TRAINING & BEHAVIOR INFORMATION

How does your dog act around people and other dogs?

What are your training goals for your dog?

Any additional information?

VETERINARIAN & EMERGENCY CONTACT INFORMATION

Veterinarian's Name

Vet Clinic

Vet Office Phone

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Phone

I have read, understand, and agree to the terms of the Private Training Waiver. Private Training Waiver

Please type your full name to confirm you have read and agree to the terms of the waiver.