Please complete this Registration Form either before or after the purchase of your Group Class or Private Training program! Your Info Your Name Your Email Primary Phone Number Is that your Home, Work, or Cell? HomeWorkCell Backup Phone Number Address City, State, and Zip Code Emergency Contact Name Emergency Contact Phone Number Private Training or Group Class Name Private Training Program (including Consultation) Successful Socialization Puppy Starters Foundations Focus Fidos Canine Good Citizen Therapy Dog Trick Dog Agility for Fun Nosework for Fun Fantastic Fidos Doggie Dates Mini Class Class Start Date (or First Day for On-Going Classes) Class Start Time Your Dog's Info Your Dog's Name Dog's Breed(s) Dog's Birthdate or Approximate Age (if age, please specify years, months, weeks) Dog's Weight My Dog is a(n): Unaltered Male Neutered Male Unaltered Female Spayed Female Up to Date on Required Vaccinations? Yes No Free of Internal and External Parasites? Yes No Veterinarian's Name Veterinarian's Phone Number How did you hear about us and our services? Former client Shelter/Rescue Breeder Pet Supply Store Veterinarian Pet Related Business Google Search Name of referring individual, organization, or business: Has your dog shown signs of aggression towards people or other dogs? Yes, towards people Yes, towards other dogs Yes, towards both people and other dogs No, no signs of aggression shown Behavior problems or anything else we should be aware of? Photo and Video Release (On our Website, Social Media etc.) Yes, my dog and I would love to be ADA modelsNo, we are a bit camera shy Please answer the question below so we know you're not a robot (or a dog). 1+2=? I accept All Dogs Allowed Terms (click to view) After clicking Submit, if you are redirected to the Cart page, the form was submitted successfully and you're all set to continue with your purchase (if you have not done so already).