Seaside Sniffer Class Registration
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Phone Number
*
-
Area Code
Phone 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
*
Male
Male Neutered
Female
Female 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 Influenza *
Leptospirosis
Other
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?
*
Agility
Tracking
Obedience
Rally
Not applicable
Other
Why do you want to do Nose Work with your dog?
*
Enrichment
Sport
Fun activity to do with my dog
Help my dog focus
I am interested in competition
Don't know
Other
Dog's fears or phobias?
*
Stangers
Other dogs
Environments
Noise
Class settings
Not 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?
Mornings
Afternoon
Evenings
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Is your dog crate trained? (your dog must be able to rest quietly in the crate between runs)
*
Yes
No
If yes, can you bring a portable crate to class?
*
Yes
No (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?
*
Yes
No
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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