REGISTRATION FORM
Group Classes, Play & Train, Private Training, Stay & Train, Board & Train and Consultations
Name
*
First Name
Last Name
Cell Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Dog’s Name
*
Male or Female
*
Please Select
Male (unaltered)
Female (unaltered)
Male (neutered)
Female (spayed)
Dog’s Birthdate (or approx age if birthdate is unknown)
*
Breed or Mix (if unknown give your best guess)
*
Does your dog have any history of dog or human aggression?
*
Please Select
No
Yes - Dog Aggression
Yes - Human Aggression
Yes - Both
Select a Class or Service
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Please Select
• Puppy Prequel - Puppies 8 - 20 weeks Tuesdays at 6:30 PM (6 week class). This is an ongoing class start any Tuesday after registering! Except holidays. $200 for full 6 weeks
• ACT 2 (Beginners) Dogs 6 months and up. Starting Nov 5th Tuesdays at 7:50 PM $200 for full 6 weeks
•Tricks Class Starting Nov 7th Thursdays at 6:30 PM for 6 weeks Trick Title Testing on final night of class. AKC charges separately for title submission. $180 for 6 weeks
•Canine Good Citizen / FIT 1 Class Nov 7th Thursdays at 7:50 PM for 6 weeks (prerequisite Puppy Prequel or ACT 2 Class or approval of trainer). $150 for class. CGC & FIT Testing the final night for a CGC Title and a FIT1 (additional charge for testing $25 and AKC charges separately for title submission)
• CGCA & CGCU Class Monday 6:30 PM 4 public/urban outings and 1 test night starting Nov 4th. $175 and $25 per test. AKC charges separately for titling.
• Rally (Novice & beyond) - Wednesday 7:30 PM $200 for full 6 weeks. This is an ongoing class start any time
• Agility - Ongoing 6:00 PM Wednesdays 6 weeks this is an ongoing class start any time - CURRENTLY FULL
• Play & Train - Choose this option to be contacted about our Play & Train (day boarding & private training sessions) at Lake Emma Animal Hospital $20 half hour with trainer
• Private Training - I’m interested in personal one on one training with a professional trainer $60 - $90 per hour
• Board & Train - Choose this option to be contacted about our board & train at Lake Emma Animal Hospital
• Stay & Train - Choose this option to be contacted about our Stay & Train- which is a board & train in a trainers home.
• Consultation - I’m interested in scheduling a free 30 minute consultation with a professional trainer.
• CGC Testing (testing only) for CGC, CGCA or CGCU $25 evaluation fee. AKC charges separately for title submission
• Tricks Testing (testing only) $25 evaluation fee. AKC charges separately for title submission
• Virtual Tricks Testing $25 evaluation fee. AKC charges separately for title submission
• Conformation Classes - Drop in Mondays at 6:00 PM $15
Once the class is selected and form submitted we will contact you to confirm availability and send a payment link. If a service has been selected we will contact you to begin scheduling.
Veterinarian’s Name
*
Upload your dog’s current vaccination record
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Must be up to date on vaccinations. Or if in Puppy Prequel must be up to date for their age.
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