Introduction to K9 NoseWork

Seaside Sniffer Class Registration
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Phone Number *

Area CodePhone Number
Email*
example@example.com
Dog's Name*
Breed -If mixed breed what do you think is the primary breed? (ex:lab, poodle, pit)*
Age*
Gender*

MaleMale NeuteredFemaleFemale Spayed
Where did you get your dog?*
How old was the dog at the time?*
Please check current vaccines (Required *)*

Rabies*DHPP * ( distemper (D), hepatitis/adenovirus (H) parvovirus (P), parainfluenza (P).Bordetella *Canine InfluenzaLeptospirosisOther
Does your dog get daily exercise? If yes, what kind of exercise and for how long?*
Have you ever competed with a dog?*
Activities/Sports you've done?*

AgilityTrackingObedienceRallyNot applicableOther
Why do you want to do Nose Work with your dog?*

EnrichmentSportFun activity to do with my dogHelp my dog focusI am interested in competitionDon't knowOther
Dog's fears or phobias?*

StangersOther dogsEnvironmentsNoiseClass settingsNot applicable
Has your dog ever been attacked by another dog?*
Has your dog ever attacked or bitten another dog?*
Has your dog ever bitten a human?*
Dog's top 5 favorite food/treats?*
Have you had any Nose Work or scent detection training?*
If yes, please tell us about it?
When, where, trainer, etc.
What attracted you to Nose Work?*
Expectations of training for you and your dog?*

What days/times would you be available for classes and trainings?

Is your dog crate trained? (your dog must be able to rest quietly in the crate between runs)*

YesNo
If yes, can you bring a portable crate to class?*

YesNo (please contact me so we can see if we have one available for your use)
There are times when you will need to have your dog in the car. Can your dog rest quietly in your car?*

YesNo
How did you hear about Seaside Sniffers?*
Release of Liability & Informed Consent
Signature-Use mouse to write signature *
After submitting this form you be contacted about the next steps.

Thanks.

Seaside Sniffers
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Seaside Sniffer Class Registration