K9 Kampus Training Class Information Form
Owners Name
Cell
Address
Text?
Yes
Np
Other Phone#
Format: (000) 000-0000.
Email
example@example.com
Vet Clinic
Dog’s Name
Breed
Age
Sex
Male
Female
Neutered / Spayed
Yes
No
Have you ever trained a dog before?
Yes
No
Have you ever done Agility before?
Yes
No
If yes, please explain
What training facility was used?
Has your dog ever exhibited aggression: toward people?
Yes
No
If yes, please explain
Has your dog ever exhibited aggression towards other dogs?
Yes
No
Please explain
Do you or have you socialized your dog? (check all that apply)
Dog Park
Daycare
Pet Store
Other
Facility and location your dog attended daycare at
What are your goals for this class?
What issues do you have with your dog that you hope to remedy in this class?
I’m interested in
Attending classes
Private Sessions with my dog and the trainer
I don’t have time to attend classes I prefer to drop my dog off for
Day Training Program
Board Training Program
My Obedience interests are: (check all that apply)
Basic Obedience
Novice Obedience (continuation of Basic Obedience)
Intermediate Obedience
My other interests are: (check all that apply)
Tricks Class
Competitive Obedience
Rally (Obedience with sign)
Canine Good Citizen Certification
Therapy Certification
Conformation (handling for the Breed Ring )
Agility Session A
Agility Session B
Agility Session C
Agility Novice Course Work
Other
Signature
*
Signature
Date
/
Month
/
Day
Year
Date
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