Smartypaws Enrollment Form

Smartypaws Enrollment Form
Today's Date

MonthDayYear
Date
Pet Parent Name

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

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Interested 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 EXCEPTIONS.

*20% non-refundable deposit due to schedule first training package session.

*Package balance due at the first session.

*Check, cash and PayPal payments accepted.

NO REFUNDS
I would like to pay by
Should be Empty: