Prince William County Animal Services Center
Application for Free Dog Training Sessions
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
What is your dog's age?
What is your dog's breed, or breed mix?
Sex
Female
Male
Is your dog spayed / neutered?
Yes
No
Did you adopt your dog from the Prince William County Animal Services Center?
Yes
No
Is your dog leash reactive/aggressive to other dogs or animals?
What behavior challenges or concerns have you experienced with your dog?
Does your dog have any medical issues or physical limitations? (if so, please describe)
Does your dog have current vaccinations for the following? (please check all that apply)
Rabies
Distemper / Parvo
Bordetella / Kennel Cough
Please upload a copy of your dog's current vaccines
Browse Files
Drag and drop files here
Choose a file
Cancel
of
GENERAL REQUIREMENTS:
All handlers must be at least 18 years of age and physically able to control their dog. Children ages 15 and older may attend, but only with a parent or guardian. Children younger than 15 years may not attend.
One dog per handler.
Female dogs who are in heat may not attend training sessions.
Dogs who pose a danger to other animals or persons may be removed from class at the discretion of the instructor.
All participants will be required to sign a liability waiver.
I have read and agree to the terms above.
agree
Submit
Should be Empty: