Liberty K9 Academy Application

Liberty K9 Academy Enrollment Application

Please fill out the form to apply for our training program.
Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Highest Level of Education
Do you have a laptop or computer to utilize for this course?
Do you intend to read the recommended course book, "How Dogs Learn"?
Reason for Taking Course
Previous Dog Experience
Have you ever been convicted of a felony?
If so, please explain below:

Application Fee

$50.00 Quantity

Total

Credit Card

ACH Bank Transfer

Liberty K9 Academy Enrollment Application