Smartypaws Enrollment Form

Smartypaws Enrollment Form
Today's Date

MonthDayYear
Date
Pet Parent Name

First NameLast Name
Dog's Name / Age in weeks / Breed
Email
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Class enrolling in
Is your dog exhibiting any behaviors that frustrate or concern you? If so, what are they?
My dog is current (or will be current by the first class) on the following vaccinations and preventatives required to start group training classes (check all that apply).

RabiesParvo/Distemper (in last 4 weeks for puppies under 16 wks old / or yearly for dogs over 16 weeksBordetella (within 6 months of class end date)Negative fecal / free from parasitesMonthly Flea / Tick / Heartworm Preventative
A copy of vaccination records must be presented in order to participate in group training classes. NO EXCPETIONS.

All group training classes are held on Monday evenings at Lakewood Animal Health Center. Your start date and time will be verified by email once full payment and completed enrollment forms are received.

There are no make up classes offered at this time.
No refunds.
I would like to pay by
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