Canine Connections Class Registration Form
New client or existing client?
New client
Existing client
Owner Information
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Dog Information
Breed
Name of the dog
Gender of the dog
Male
Female
Weight of dog (lbs)
Is the dog spayed /neutered?
Yes
No
Is the dog in good and healthy condition?
Yes
No
How many family members live with the dog?
Do you have other pets?
Who spends most of the time with the dog?
Where is the dog allowed when you are home?
Where is the dog allowed when you are out?
Has your dog done any formal training? Please explain
What are your dog's favourite toys?
How does your dog react when meeting other dogs? Explain.
How does your dog react when meeting other people? Explain.
What are your dog's favourite toys?
What is your primary concern about your dog?
Any additional information you think would be useful for us to know?
How did you hear about us?
Do you consent to ARC using photos of you and your dog on our website and other media? Names won’t be included, and any photo a guardian is concerned about can be removed upon request. We love sharing images of happy dogs enjoying class, though we don’t post very often.
Submit
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