Beginner Class Registration CLASS INFORMATION Cost: $135Class Date*April 4, 2023 thru June 20, 2023June 27, 2023 thru September 19, 2023September 26, 2023 thru December 19, 2023CONTACT INFORMATION Name of Owner(s)* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Name of Handler* First Last Phone*Email* Name/Age of Person Training (if under 18) DOG INFORMATION Breed of Dog* Color* Call Name* Sex* Male Female Birthdate (if unsure, enter your best guess)* Who referred you to the Wildwood Dog Training Club?* BEHAVIOR PROBLEMS Behavior Problems House Soils Chews No Obey Jumps Unruly Fights Mouths Aggressive Bites Barks Coprophagy Shy Pica Digs Howls Additional CommentsPERSONAL HISTORY How old was your dog when you obtained him/her?* Is this your first dog?* Yes No Where did you get your dog?* Commercial pet shop From a friend Small kennel or breeder Humane or Rescue Society Other Are you interested in continuing in Beginner training?* Yes No Are you interested in AKC obedience competition?* Yes No Agree to Terms* Yes, I agree to the terms I have read and understand the Rules and Regulations, including vaccination requirements, and agree to comply with all the regulations pertaining to my conduct and my dog’s conduct. To the best of my knowledge, the above information is true and correct.Class Fee* Price: EmailThis field is for validation purposes and should be left unchanged.