K-9 Insight™ Obedience, LLC

Class Registration

If you do not receive a confirmation email to your online registration in two days, please call and/or send a separate email to let us know.

Client Information
Names of all people who will be attending the class: (please specify adult or child)
Email:
Day Phone:
Evening Phone:
Best Time to Call:	Day Evening
Address:
City:
Zip Code:
Emergency contact: (name, relationship, phone)

Dog Information
Name:
Age:
Sex:	Male Female
Breed(s):
Where did you get the dog?
How long have you owned the dog?
Why did you acquire the dog?
Veterinary Clinic:
Date and type of last vaccinations:
Is the dog spayed or neutered? Yes No If so, at what age?
Class:

Additional Questions

As an adult, have you ever owned and trained a dog before? If yes, what kind of dog(s)?

Does your dog have any behavioral problems; e.g., fearful, aggressive on/off leash, doesn't like a certain breed, size, coat type or color, timid with strangers (e.g., men, people in hats, children), etc. Please describe:

Has your dog ever growled at or bitten a person? If yes, please describe incident(s) in detail.

Has your dog had any previous training? From what school/trainer? How do you rate the success?

What are your two main goals in taking this course?

Do you have any other dogs or pets?

How did you learn about K-9 Insight Obedience? (please be specific)

Comments: