Puppy Class Registration Class Information Cost: $115Class Date*January 11, 2022 thru March 15, 2022April 5, 2022 thru June 7, 2022June 28, 2022 thru September 6, 2022September 27, 2022 thru December 6, 2022 Contact Information Name of Owner(s)* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest 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*MaleFemaleBirthdate (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?*YesNoWhere did you get your dog?*Commercial pet shopFrom a friendSmall kennel or breederHumane or Rescue SocietyOtherAre you interested in continuing in Beginner training?*YesNoAre you interested in AKC obedience competition?*YesNoAgree to Terms* Yes, I agree to the terms I have read and understand the Rules and Regulations 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: $115.00 PhoneThis field is for validation purposes and should be left unchanged.
