Lead K9 Training
Group Class Registration Form
Owner Information
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Dog Information
Dog Name
*
Breed
*
Age (in years)
*
Sex
*
Male
Female
Spayed/Neutered?
*
Yes
No
Veterinarian (Clinic or Doctor Name)
Emergency Contact
Contact Name
*
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Owner
*
Class Selection
Select Class Type(s)
*
Puppy Foundations
Basic Obedience
Loose Leash Walking
Confidence Building
Other
Behavior & Health Screening
Does your dog have any of the following behavior or health concerns?
*
Barking/Lunging at Dogs
Barking/Lunging at People
Fearfulness/Anxiety
Resource Guarding
Bite History
None of the above
Is your dog currently taking any medications?
*
Yes
No
If yes, please list medication details (name, dosage, reason):
Is your dog up to date on vaccinations?
*
Yes
No
Training Goals
Please describe your training goals.
Class Policies
Dogs with reactivity, aggression, or significant behavioral concerns may require a private consultation before group class approval.
Participation does not guarantee specific training results and owner involvement is required.
The owner certifies the dog is healthy enough for training.
I have read, understand, and agree to the above class policies.
*
I Agree
Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit Registration
Submit Registration
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