CANINE CONFIDENCE BUILDING
K9 Learning Solutions, LLC
OWNER INFORMATION
Owner Name:
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:
NO
BEHAVIOR PROFILE (Circle all that apply)
Behavior Profile Options
Fearful in new environments
Reactive to dogs
Reactive to people
Fearful on surfaces
Noise sensitive
Startles easily
Shuts down in new settings
Overstimulated quickly
Additional Notes:
CLASS SELECTION (Circle One)
Class Selection Options
Friday – 6:00 PM
Saturday – 11:00 AM
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
Should be Empty: