Summer Camp Registration
Kids 4 K9s
Please complete the following application. Each of the narrative questions must have a response.
DEMOGRAPHICS
Ethnicity (You may choose more than 1)
*
African-American
Asian
Caucasian
Latino
Other
Name of High School you are attending
*
APPLICANT INFORMATION
Applicant's First and Last Name
*
First Name
Last Name
Date of Birth
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
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Day
Please select a year
2024
2023
2022
2021
2020
2019
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2012
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Year
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
PARENT / GUARDIAN / EMERGENCY CONTACT
Name
*
First Name
Last Name
Relationship
*
Please Select
Mother
Father
Grandparent
Aunt
Uncle
Sibling
Babysitter/Nanny
Other
Phone Number
*
E-mail
*
example@example.com
ELEMENT OF INTEREST
Please tell us why you are interested in participating in the summer program?
*
TRAINING-RELATED EXPERIENCE
Have you had previous experience training a dog?
*
Please Select
Yes
No
If yes, please describe. For example, tell us what you taught the dog to do, and tell us how you taught them to do it. Describe what training tools you utilized, and what training strategies you used.
*
LOGISTICS
T-Shirt size?
*
Please Select
Adult Small
Adult Medium
Adult Large
Adult X-Large
CAUTION NOTE: We use peanut butter throughout the facility. If you have a severe allergy to peanut butter, the shelter environment might not be suitable for you.
Are you allergic to peanut butter?
*
Please Select
Yes
No
Do you have physical limitations that require additional support?
*
Please Select
Yes
No
Do you have any general questions about the program that you would like answered during the orientation session?
*
Please Select
Yes
No
Submit Form
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