Group Class Registration
K9 Learning Solutions, LLC
OWNER INFORMATION
Owner #1 Name:
Owner #2 Name:
Owner #1 Phone:
Format: (000) 000-0000.
Owner #2 Phone:
Format: (000) 000-0000.
Email:
example@example.com
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
DOG INFORMATION
Dog Name:
Breed:
Age:
Sex: Male / Female Spayed/Neutered:
Male
Female
Spayed/Neutered:
Not Spayed/Neutered
PREVIOUS TRAINING
Puppy
Obiedience
Board & Train
Group Class
Private in Home
NONE
Other
BEHAVIOR PROFILE (Select all that apply)
Behavior Profile Options
Fearful in new environments
Reactive to dogs
Reactive to people
Noise sensitive
Startles easily
Shuts down in new settings
Overstimulated quickly
Overly excited when meeting new people
Jumps
Hard to settle/Paces/Runs Fences
Rushes Door
Hard to Handle on Leash
Barks Excessively
Lunges
Other
Additional Notes:
CLASS SELECTION (Select One)
Class Selection Options
Get Control- Fridays 5:30PM- 6:30pm
Confidence Building- Fridays 7:00-8:00pm
CLASS SUITABILITY POLICY
Dogs must be able to participate safely in a small group setting. If a dog is extremely reactive, highly disruptive, or too fearful to safely engage, the instructor may remove the dog from class at their discretion.
Owner Initials (Required):
*
CLASS SCHEDULE NOTICE
Class schedule may be adjusted based on enrollment. Participants will be notified of any changes.
VACCINATION REQUIREMENTS
Proof of current vaccinations is required.
Required: Distemper/Parvovirus, Rabies, Bordetella
PAYMENT
$225 — Cash | Check | Venmo (Due Week 1)
Signature:
Date:
-
Month
-
Day
Year
Date
Preview PDF
Submit
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