ULTIMUTT Barn Hunt Registration

Ultimutt Barn Hunt Registration
Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Dog's Name
Dog's Date of Birth

MonthDayYear
Date. If unsure, please guess approximate Date.
Breed and Color
VACCINATIONS

We require proof of the following:

• *Bordetella (the intranasal 6 month that includes Adenovirus, Parainfluenza, and Bordetella is highly recommended)

• DHLPP annual or equivalent (or puppy series)

• Rabies 1 year or 3 year (once old enough for puppies)

• *Highly Recommended:

Canine Influenza (H3N2 or H3N2/H3N8.

*These are not part of the regular vaccines routinely given and have to be

.
My dog is current with the following vaccinations:
Vaccination explanation - if your dog doesn't have all the required vaccinations
Which best describes your dogs energy level?
Are there any types of PEOPLE that your dog dislikes? Please explain.
If Not, type None
Are there any types of ANIMALS that your dog dislikes? Please explain.
If Not, type None
Has your dog ever bitten anyone?

If yes, please explain
Does your dog had any Barn Hunt experience?

if yes, how much?
Has your dog been in any Barn Hunt trials?
If Yes is marked above what is highest level? How many rats does your dog typically search for at a time?
Please provide other comments or information about your dog that you feel might be helpful:
How did you hear about us?

Other
Image Release
By e-signing this form, I accept the risks in the statements in the waiver above and I certify that the information provided in this form is accurate and true to the best of my knowledge.
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Ultimutt Barn Hunt Registration