PUPS Playtime Registration
Full Name
*
First Name
Last Name
Second Handler Name
First Name
Last Name
Email
*
Phone
*
Address
Street Address
Street Address Line 2
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Puppy's Name
*
Birth Date
*
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Year
Breed
*
Gender
*
Please Select
Female
Male
Veterinarian:
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Does your dog have any medical conditions or injuries that we should be aware of?
Is your dog on any medications?
Is Your Dog Spayed/Neutered?
*
Yes
No
What are your current challenges with your puppy?
What are your goals for your puppy while they are in PUPS?
Selected location:
*
Chinook location: 515-70 Ave SW
Killarney location: 2835-37 Street SW
Puppy Playtime class date:
*
PUPS Playtime is currently on hold
Are you a current VIPUPS Obedience Member?
*
Yes
No
Puppy Playtime
*
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Puppy Playtime
$
15.00
CAD
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Total
$
0.00
CAD
I understand that I must watch the Planned Puppyhood Webinar prior to attending my first class. If I do not complete this I will be turned away:
*
I agree
Do you, or anyone who will be attending class with you, or in your place, have a severe peanut allergy?
*
Yes
No
How Did You Hear About Us?
*
Facebook
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Vet
Drove By
Existing Client
Other
Comments:
Please select:
*
I would like information from dogma on my registered class only
I would like information from dogma on upcoming classes, program and special events
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