Puppy Registration

Puppy Class Registration
Class Information
Cost: $115
Class Date*
Contact Information
Name of Owner(s)*
First Last
Address*
Street Address City 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 Comments
PERSONAL 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:
Comments
This field is for validation purposes and should be left unchanged.

Puppy Class Registration