Class Registration Request

Name(Required)

First Last

Personal (not work) Email(Required)

Primary Phone(Required)

ALL CLASSES ARE CURRENTLY FULL:(Required)

Beginner (Saturdays at 9:30 - April 26, May 3, 10, 17, 24, & 31)

Basic (Saturdays at 11 - April 26, May 3, 10, 17, 24, & 31)

Novice Rally (Saturdays at 1:30 - April 19, 26, May 3, 10, 17, & 24)

Novice Rally (Saturdays at 3 - April 19, 26, May 3, 10, 17, & 24)

Advanced Rally (Saturdays at 4:30 - April 19, 26, May 3, 10, 17, & 24)

Agility (Mondays at 4:30 April 21, 28, May 5, 12, 19, & 26) THIS CLASS IS FULL. ONLY REGISTER WITH INSTRUCTOR PERMISSION

Your dog's name:(Required)

Your dog's breed type:(Required)

Your dog's gender:(Required)

Male

Female

Your dog's age:(Required)

How long have you been together?(Required)

Your veterinarian:(Required)

Is your dog neutered/spayed:(Required)

Yes

Where was your dog acquired from?(Required)

Animal Shelter

Rescue

Breeder

Other

List any dog training classes taken:

Describe any medical conditions:

Describe food & feeding regimen:

Describe goals for this class:

Describe your dog's specific challenges:

I have read and agree to the class guidelines(Required)

Yes and I agree

Not yet, but I will before the first class

No, I won't be attending

Is your dog vaccinated?(Required)

Yes, I'll bring proof of vaccinations to class

Not yet, but he will be and I'll bring proof