Puppy Social Enrollment Form
Please note that this class is open to puppies from the age of 8 -16 weeks old.
Your Name
*
First Name
Last Name
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
Puppy Name
*
Breed/Breed-type
*
Color
*
Sex
*
Female
Male
Spayed Female
Neutered Male
Weight
*
Date of Birth/Age
*
Adoption Date
*
Are you a current client with another dog in our daycare program?
*
No
Yes
Do you plan to enroll your puppy in our daycare program?
*
No
Yes
Does your puppy have any allergies
*
No
Yes
If yes, please explain
List any physical limitations this puppy has.
Our Puppy Social is free of charge, but we do ask that you let our Trainer know each week whether or not you plan to attend the next week's session so that we can plan.
Puppies are not fully vaccinated during this age range, but we do require that they have had at least one Distemper/Parvo vaccine and the additional doses based on their age. Bordetella vaccine is strongly encouraged for your puppy's safety. Vaccination records are required prior to starting class. You can upload a copy below or you can drop a copy off during our open hours.
Upload vaccines here
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I state that I am the owner of the dog named in this application and that this dog is not a hazard or menace to other dogs or people. I further state that I am responsible for any injuries to people, dogs, or damage to property caused by my dog. I understand that my dog will not be admitted to class without proof of current vaccinations.
*
Thank you for your interest in our classes. We will be in touch within 24 hours after receiving your enrollment form. If you do not hear from us in that timeframe, please check your SPAM folder. If nothing there, please follow up with us.
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