Indicate START DATE of session
you are registering for:
Date
NOTE:
Start date for June 14th
class *may* be postponed one week depending on registrations. All
class dates subject to change/confirmation; you will be notified prior to
scheduled start of any changes.
CLIENT INFORMATION
Name
Address
Daytime Phone
Evening Phone
Email Address
Referred
by
PUPPY OR DOG INFORMATION
NOTE:
Your puppy should have had at least 2 sets of shots in
order to attend class, please check with your vet clinic and either mail
with this form or bring to class a copy of your dog’s most recent shot
record for my files.
Refunds/Cancellations:
Class fee includes a $50.00 non-refundable registration charge to reserve
your place in class. Pre-registration is required and must be mailed or
submitted online with payment in advance.
In the event that you need to cancel once classes have
begun, refunds cannot be given, however we are happy to defer your
enrollment until a future class date.
Dog’s Name
Breed
Date of Birth
Age
Sex: MaleFemale
Neutered/Spayed?
If not please explain
Vaccination Dates:
DHLPP
Bordetella
Rabies
Your Vet Clinic
& Phone Number
Where did you get your dog?
Is this your first dog?
Yes No
Age of dog when acquired
Has
the dog had previous training? Yes
No
Where?
When?
Please describe the type of
training: (puppy classes, positive training, traditional training with choke
collar, etc)
Do children under the age of 12
years live with the dog? Yes
No
Are you content with your dog’s
behavior? Yes
No
Do you have another dog at home?
Yes No
Is this a littermate? Yes
No
Age
Has your dog ever bitten a person?
Yes No
Another dog? Yes
No
PLEASE SELECT ANY OF THE FOLLOWING WHICH
APPLY TO YOUR DOG:
PROBLEMS:
Other behavior problems:
TEMPERAMENT:
Other temperament issues:
IS YOUR DOG:
By submitting this form you
agree to all of the conditions of registration described herein, including
the refund and cancellation policies, and acknowledge and agree that your participation in puppy socialization and dog
obedience training classes involves some risk and he/she knowingly assumes all risks
attendant thereto. The registrant does herewith disclaim and indemnify and hold harmless
any and all persons connected with Merit Puppy Training, L.L.C., from any and all
loss, damage, sickness, and expense by reason of participating in puppy socialization and
dog obedience training classes.