K9 Center Training Enrollment
Please use this form the first time you enroll a dog for training at K9CET
First Name
*
Last Name
*
Dog's name
*
Email Address
*
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Contact Information
Phone (main)
*
Phone (cell)
Street Address
*
Street Address Line 2
City
*
State
*
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
*
Dog Information
Breed(s) or description
*
Weight
*
Age/DOB
*
Height
Gender
*
M
F
Neutered/Spayed?
*
Y
N
Veterinarian/Clinic
*
How did you hear about us?
*
Meadowbrooke Kennel
Hush Puppy's
Humane Society of East TN
Young Williams
Friend or relative
Pet store
Groomer
Rescue Group
Print or online ad
Vehicle logo
Vet office
Yard sign
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How long have you had this dog?
*
What age was this dog when you got him/her?
*
Where did you get this dog?
*
Animal shelter
Breeder
Friend or relative
Pet store
Rescue/foster
Print or online ad
Where is this dog usually kept?
*
In house loose
In house crated
In fenced yard
In dog pen
Tied outside
In/out doggie door
How would you describe this dog's personality and temperament? [Select all that apply]
*
Shy
Friendly
Fearful
Confident
Pushy
Passive
Nervous
Calm
High energy
Laid back
Dominant
Submissive
Indifferent
Curious
Dependent
Independent
Quiet
Loud
Playful
Bored
What activities do you and this dog enjoy?
*
What are your future goals for this dog?
*
What commands does this dog respond to?
*
Come
Sit
Down
Heel
Stand
Stay
Wait
No
Leave it
Let's go
Fetch
Drop it / Give
What percentage of the time will this dog come when called?
*
90% or more
75%
50%
25% or less
This dog has shown aggression or aggressive tendencies towards:
*
People
Dogs
No aggression
Please describe aggressive incident(s) or N/A
*
How does this dog react to
*
Very Bad
Bad
Neutral
Good
Very Good
Being left alone
Being in a car
Strangers
Puppies
Adult dogs
Children
Men
Women
Crowds
Cats
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What annoying habits does this dog have?
*
Barks / Howls
Chews
Runs away
Jumps up
Chases things
Begs
Digs
Growls
Gets into trash
Bites / Mouths
Do you have other dogs? Cats? List breeds, genders, ages, and any problems among your pack
*
What things upset this dog?
*
Has this dog had any prior experience/training in any of these areas? [Select all that apply]
*
Obedience
Agility
Rally
Conformation
Schutzhund
Herding
Tracking
Earthdog
Lure coursing
Nose Work
Barn hunt
Weight pull
How much prior training and where was the training done?
*
What titles and awards has this dog earned?
*
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I'm interested in the following types of training:
Puppy
Obedience
Agility
Rally
Nose Work
Conformation
Manners
Daycare add-on training
Board and train programs
What best describes your goals?
I need help!
I'm interested in having a better dog around family and friends
I have specific goals for this dog's future
I'm already competing in dog sports and want to improve
I prefer to work with the following trainer(s):
Ace Russell
Susie Stout
George Beck
Naomi Furnald
Ashley Richardson
Jennifer Ackley
Any of the above
Name
First Name
Last Name
When would you like to start?
*
As soon as possible
Roughly on the date(s) indicated below
Preferred Date
-
Month
-
Day
Year
Date
Alternative Date (2nd choice)
-
Month
-
Day
Year
Date
Comments related to this registration
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SUBMIT
Click SUBMIT above to complete this form.
We're looking forward to working with you and your dog!
Please make payment prior to or at first session.
Payment can be made by cash, check, all major credit cards or PayPal.
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