Supervised Play/Practice Group

Supervised Play Groups

Please fill out this form to be considered for the supervised groups. You will receive an email with dates, locations, and times of the appropriate groups for you and your dog!
Name

First Name Last Name
Spouse's or Partner's Name

First Name Last Name
What is your dog's name?
Primary Phone
Please enter a valid phone number.
Can you receive text messages at that number?

Yes No
Phone Number - Spouse/Partner or secondary phone.
Please enter a valid phone number.
Can you receive text messages at that number?

Yes No
Email
example@example.com
Spouse/Partner Email
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
What is the age of your dog? Select one only.

Puppy - aged 4 months through 8 months old Youngster - aged 8 months old through 18 months old Young adult - aged 18 months through 3 years Healthy Adult - aged 3 -7 years with no physical limitations or injuries Mature Adult - over the age of 7 years with no physical limitations or injuries
My dog is
Please list any medical concerns or physical limitations your dog might have. Include old injuries, surgeries, or illnesses, as well as anything current. If your dog is intact, please list the reason why (not old enough, vet suggested waiting, intent to breed).
It is ok to be detailed!
Do you or your spouse/partner have any medical or physical limitations that I should be aware of? Answering this helps me prepare to keep you safe in a group environment!
What are you hoping for your dog to gain through attending this practice or play group?
Please describe in your own words what you hope attending this group will do for your dog. For example, I hope my dog will become more confident around other dogs, or, I hope my dog will learn to be less forceful with other dogs.
What are YOU hoping to gain from attending this play or practice group?
Please describe in your own words what you expect to get out of the group. For example, I hope to learn more about my dog's play style, or, I need to gain more confidence in my leash skills.
Please choose the option that best describes your situation.

I am a private client of Christi Chapman. I attended a group class with Christi Chapman. I am both a private and group client with Christi Chapman. I attended a group or private training session with another trainer and was referred. I have attended group or private training with another trainer but was not referred to this class. I have never attended a group or private session with Christi Chapman or another trainer.
If you are a private client or attended group class with Christi Chapman, please share what your private sessions or group classes were for.
Please include all training experiences you engaged in with Christi Chapman.
If you have attended group or private sessions with another trainer, please list that information here. Please include the trainer's name and business name, phone number, and website. You can add any additional information you think would be helpful, such as you and your dog's experience there, what was helpful or not, and if they referred you to these groups.
If you have never attended training classes with Christi, or another trainer, please share which group session you wish to attend, and how you think it will help your dog.
My dog's social style can best be described as:
Choose the option that best fits your dog's style when meeting other dogs and people.
How do you feel about your dog meeting other dogs or people?
Please add any additional comments about your dog here:
This space is for ANY additional information you feel the need to share! If you can't think of anything additional to share, please tell me all of the wonderful things about your dog!
Should be Empty:

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Supervised Play Groups