Class Registration Form First Name Last Name Email Phone Number Address Zip Code Dog's Name Age Date of birth Sex Male Female Weight Breed/Mix Neutered/Spayed Yes No Veterinarian's name, address and phone number Is your dog friendly toward other dogs? Yes No Is your dog friendly toward other people? Yes No What is your dog’s favorite reward? Does your dog have any dietery restrictions? Yes No If yes, please specify How many times a day your dog is walked? What is your dog's favorite activity? What is your dog’s obedience school/training history? No school—trained yourself No training Puppy kindergarden Group lessons—basic Group lessons—advanced Private trainer at house Private trainer—sent to trainer Clicker training Remote collar training Prong/chocked chain training Reward-based training Agility Age when dog started lessons/training Is there any on-going training? Yes No Training equipment used No-pull harness Body harness Buckled collar Martingale collar Head harness (gentle, leader, halti) Chain collar Prong collar Remote control collar Have your dog ever snaped or bitten another dog or a person? Yes No If yes, please describe the incident. Please note if the skin was broken. How your dog reacts to petting/handling/restrain? No aggression Growl Snap (no skin contact) Bite (teeth mark) Bite (bruise, penetration) Not applicable (dog has never been in that situation) Put collar/leash/harness on or take off No aggression Growl Snap (no skin contact) Bite (teeth mark) Bite (bruise, penetration) Not applicable (dog has never been in that situation) Is there anything else you think we should know about your dog? Please upload a photo of your dog Please upload a photo or pdf of your dog's rabies certificate Submit
