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OWNER INFORMATION
*Name :
*Address :
*City :
State :
Zip Code :
*Home Phone Number :
*Cell Number:
*Email :
Would you like to be notified about upcoming events and seminars?
All information is for registration purposes only, K9 Problemsolvers and Hounds On The Hudson will never share or publish your information for any reason, including your email address.
*Emergency Contact Person :
Relationship :
*Phone Number :
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YOUR DOG'S INFORMATION
Name :
Age :
Breed :
Color :
Is your dog spayed/neutered ?
Weight :
Sex :
Are there any issues or problems with your dog we should know about?
Does your dog get along with other dogs?
If Yes, please explain :
YOUR VETERINARIAN INFORMATION
*Name of Animal Hospital:
*Address :
*City :
*State :
Zip Code :
*Phone Number :
*Do you use flea and tick protection?
*Does your dog have any allergies we should know about?
If Yes, what kind?
(please choose one from the dropdown menu)
*If Yes, please explain :
(If food allegies, please be specific so that we make sure your dog will always be safe around others in class)
VACCINATIONS
Please list the last known date for each vaccine given (puppies under six months of age do not have to have a rabies vaccine). We gladly accept titer tests for distemper and parvovirus for adult dogs, ff you titer test your dog, please give the last date of the most recent titer in the DHLPP box so that we may verify it with your veterinarian.
DHLPP:
Rabies:
Bordatella:
TRAINING INFORMATION
Has your dog ever attended training?
If Yes, what kind?
Type of training your dog has had previously, if any?
Please check all issues and areas you are interested in working with so that we may assist putting you in the right class or finding the best way to assist you.
Is there anything you would like to see offered that we do not currently have? Please tell us!
Please fill out this form in its entirety, it will help us determine the best fit for you and your dogs training needs. All training class clients will be notified by phone for class confimation and deposit.
Please make sure you click on the "Submit" button at the bottom of the form.
*All questions marked with an asterisk are required
What class would you like to enroll in?
CLASS REGISTRATION
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