Class Registration Request

Name(Required)

First Last

Personal (not work) Email(Required)

Primary Phone(Required)

Class you are enrolling in:(Required)

Foundation 1 Skills (9:30 am class)

Foundation 2 Skills (11:30 am class)

Foundation 3 Skills

Agility Level 1

Agility Level 2

Rally/Agility for Special Dogs

Rally-Obedience 1.x

Intro to Dog Sports 1.x

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

No

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 the class Guidelines(Required)

Yes and I understand them

Not yet, but I will before the first class

I agree to the class Guidelines(Required)

Yes, I will be responsible for my dog

No, I won't be coming to class

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