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Registration Form
First Name
*
Last Name
*
Phone
Major Cross Streets
*
Please help us find out where we need to add classes and services by providing us with your general location.
Email Address
*
I Would Like to Register for
In-Home Lessons
Private Lessons
Group Lessons
I would like to register for….
*
In-Home Lessons
Private Lessons
Group Lessons at the Gardens Park
Manners Class
Leash Training
Stationary Commands
Recall Class
Full set of four classes in Town Square
Free Seminar
How did you find us?
*
Dog's Name
Dog's age
*
Breed
*
Approximate weight
*
Is your dog vaccinated?
*
Yes
No
Is your dog
*
Spayed (female)
Not spayed (female)
Neutered (male)
Intact (Not Neutured) (male)
Which best applies to your dog when meeting new people?
*
Likes meeting new people.
Can take or leave meeting new people.
Is afraid of meeting new people.
Barks incessantly when meeting new people.
Becomes Cujo when meeting new people.
Has your dog ever bitten or tried to bite a person?
*
Yes (Please explain in the “comments” section below)
No
Which Applies Best To Your Dog When Meeting Other Dogs?
*
Likes meeting new dogs.
Can take or leave new dogs.
Is afraid of meeting new dogs.
Tries to mount new dogs.
Barks incessantly when meeting new dogs.
Becomes a snapping, snarlling, white-hot ball of canine terror when meeting new dogs.
Has your dog ever bitten or tried to bite another dog?
*
Yes (if yes, please explain in “Comments” section)
No
Has Your Dog Ever Been Bitten or Attacked By Another Dog?
*
Yes (if yes, please explain in “Comments” section)
No
*
I understand that space is limited in classes and free seminars and I agree to provide 24 hours notice in the event I cannot attend an event so that someone else may have my spot.
Have you worked with us before?
Yes
No
Additional Comments or Questions
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