Enrollment Form 2025

Enrollment Form
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Birthday (all minors under 16 years old need to be accompanied by an adult)*

MonthDayYear
Date
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What are you enrolling for?*

Private SessionsPuppy ClassBeginner ClassAdvanced ClassFocused Single Session
For Group classes (Please let us know which class start date and time you would like to sign up for )
Please indicate your first and second choice for class start day and times - These can be found in my monthly newsletter and on my Facebook Page.
Dog's Name:*
Dog's Breed:*
Dog's Birthday (This can be an estimate)*

MonthDayYear
Date
Gender:*
Where did you get your dog?*
How long have you had your dog? *
What age was your dog when you got them?*
Veterinarian Information:
Rabies Vaccine Expiration Date: (if under 16 weeks of age, please use today's date)*

MonthDayYear
Date
Distemper/Parvo Vaccine Expiration Date:*

MonthDayYear
Date
Bordatella Vaccine expiration Date:

MonthDayYear
Date
What Equipment are you currently using? (Select All That Apply)*

Flat CollarMartingale CollarHarnessChoke ChainProng CollarElectric "shock" Collar6 foot LeashRetractable LeashOther
What does your dog like BEST:*

FoodToysAttentionUnsure
Please describe any behavioral challenges you're currently experiencing with your dog:*
What would you most like to achieve through training? Feel free to list your goals starting with the one that matters most to you:*
What types of training have you tried in the past, and did you find anything that worked particularly well?*
How much time do you plan on spending EACH DAY working/training with your dog?*

5 minutes30 minutes1 hour2+ hoursOther
If "Other", please explain:
Please list any medications your pet is currently taking:
Do you or your dog have any known food allergies? (i.e. Peanut Butter)
How did you hear about us?*

FacebookValpakDrive by signFriend/Family MemberOther
If "other" please explain. If Friend/Family member, who can we thank?
I love sharing about my clients, however I understand that not everyone wants their pet's photos out there. Are you OK with me sharing pictures and/or videos of your pet(s) on social media?*

Yes to Social Media ConsentNo to Social Media Consent
Interested in receiving extra tips, tricks, and updates on upcoming events? Sign up for our Monthly Newsletter! (You can unsubscribe at any time)*

Yes Sign me up!No Thank you.
Thank you for taking the time to complete this form. You and your dog are already taking a wonderful step toward building a strong, lasting bond! I'm truly excited to support you on this journey and help improve the communication between you and your pup.

Remember, training is a process—it takes time, patience, and consistency. While results don't happen overnight, your commitment will make all the difference. I'm here to guide and support you, but the effort you put in will shape the outcome. So, make a promise to yourself and your dog today: dedicate the time, stay engaged, and enjoy the journey of growing and learning together!
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