Group Class Inquiry"*" indicates required fieldsLinkedInThis field is for validation purposes and should be left unchanged.Group Class Name(s) You'd Like To Attend*How Did You Hear About Us?* Flyer from Pet Food Express I met a trainer I met a Canine Coaches student Word of mouth Online Search OtherOwner InformationOwner Name* First Last Phone*Email* Dog InformationDog's Name*Breed(s)*Date of Birth Sex* Male FemaleIs your dog spayed or neutered?* Yes NoHow does your dog react to visitors/strangers?*Is your dog likely to show any of the following behavior within 6 ft of another dog?* Bark Lunge Whine Growl None of the above.(Check all that apply.)Has your dog ever bitten or drawn blood from another living thing?*Has your dog ever been in a fight with another dog?* No YesIf Yes, please explain:* My dog is on regular, effective flea treatment. * My dog is up to date on all necessary vaccines and I will provide my dogs current vaccination records in person on or before the first class (Canine Influenza, Rabies, Distemper, Parvo, Bordetella, and Leptospirosis).* I Agree:* My dog is on regular, effective flea treatment. * My dog is up to date on all necessary vaccines and I will provide my dogs current vaccination records in person on or before the first class (Canine Influenza, Rabies, Distemper, Parvo, Bordetella, and Leptospirosis).* Our classes are for non-reactive dogs. * Our classes are limited to 8 students. * We will communicate with you via your email address from this form. We will never share your email address outside of The Canine Coaches.* I acknowledge the following:* Our classes are for non-reactive dogs. * Our classes are limited to 8 students. * We will communicate with you via your email address from this form. We will never share your email address outside of The Canine Coaches.SignatureYour NameYour NameYour NameYour NameDate Δ
