LEVEL 1 GROUP CLASS SIGN UP

LEVEL 1 GROUP CLASS

Fill out the form carefully for registration
Client Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Client E-mail
example@example.com
Mobile Number
Backup Number
Dogs Information (if you’re bringing more than one dog - please fill out a second form)

First NameAgeBreed
Rabies Vaccine Uploaded

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Is your dog friendly with people?
Has your dog ever bitten a person? (Full Bites, Nips, attempted, etc)
If yes, please explain below. Please also list if the bite was recorded with the state
Is your dog friendly with other dogs?
Has your dog ever bitten another dog? (Full Bites, Nips, attempted, etc)
If yes, please explain below. Please also list if the bite was recorded with the state
Have you ever done training before?
Explain training you’ve done with your dog (Lessons, Board & Train, Classes, Pack Walks, Club, etc)
What company did you train with?
What motivates your dog?
What do you want to focus on improving in the group setting?
What are your goals for you and your dog with partaking in this group class?
Form of payment for the group class

CashCheckVenmoPaypal
Signature that you read and understand the above Waiver, Assumption of risk, & Agreement to Hold

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