Form - Puppy Class Registration

Owner Information (required)
First Name (required)
Last Name (required)
Address (required)
Street Address (required)
City (required)
State/Province (required)
Zip/Postal Code (required)
,
Phone (required)
Phone TypePhone Number (required)
E-Mail Address :
Puppy Information:
Name: (required)

Breed: (required)

Male
Female
Date of Birth (required)

Additional information would be appreciated:
Have you owned a dog before?
Yes
No
How old was your puppy when you got him/her?

Do you use or plan to use a dog crate?
Yes
No
Where does your puppy spend most of the day?

Where does your puppy spend most of the night?

What do you currently feed your puppy?

Do you feed at specific meal times or leave food down at all times?

Do you have children at home?
Yes
No
If yes what ages?

Who is the primary caregiver of your puppy?
Yourself
Spouse
Child/Other
Do you currently have any other dogs in your household?
Yes
No
Sometimes
Is your yard fenced in?
Yes
No
Do you have dog training experience?
Yes
No
Some
**Has your puppy ever shown any aggression to a person or other dog around food?
(At any time? (This does not mean playfull puppy biting.))
Yes
No
If Yes Please explain.

***Please let the instructor know if your puppy: :
Answer here:


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