New Dog Profile

GENERAL

Which class are you registered for?
Owner's Name:*
Phone Number:
-
Email:*
Confirm Email:

DOG INFORMATION

Dog's Name:*
Breed:
Sex:
Weight:
Birth Date:
How long have you had this dog?
Prior Training
How did you hear about us? (Please be specific if referred by an individual or business so we can thank them!)
What do you like most about your dog?
What would you especially like your dog to learn in this class?
How does your dog typically behave around new dogs? (check all that apply)
Other comments (dogs)
How does your dog typically behave around new people? (check all that apply)
Other comments(people)

BITE HISTORY

B1: How many times has your dog been harmfully bitten by other dogs? (Select 0 if none)*
Was it due (select one)
How much damage was done to your dog?
Other comments (bitten by other dogs)
B2: How many times has your dog harmfully bitten other dogs? (Select 0 if none)*
Was it due (select one)
How much damage was done to other dog?
Other comments (bitten other dogs)
B3: How many times has your dog harmfully bitten people? (Select 0 if none)*
Was it due (select one)
How much damage was done to person?
Other comments (bitten other people)
Type the characters you see in the picture below
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