Group Training Registration

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Madam Fourpaws

Instructions

Complete and submit the registration form.
Submit payment to secure your spot in class. Be sure to use the same email address for both registration and payment.
Once your information and payment are confirmed, you will receive an email with log in instructions to the client portal as well as additional information regarding your chosen class.

Group Class Pet Registration

* Indicates required field

Class Registration for: *

Puppy/Beginner Intermediate

Choose Only One

Pet Owner Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Daytime Phone Number *

Evening Phone Number *

Email *

Pet Name *

Pet Birth Date *

Gender *

Male Female

Is your pet current on the following vaccinations? Rabies, Parvovirus, Distemper, Parainfluenza *

Yes No

Has your pet had any prior training? *

No prior training Basic Obedience Intermediate Obedience Advanced Obedience Canine Good Citizen/Other

Has your pet ever shown any of the following behaviors? *

Aggression toward people Aggression toward other pets/animals Unprovoked biting Excessive barking None of the above

Check all that apply

Spayed/Neutered *

Yes No

Is your pet healthy? *

Yes No

If your pet has any physical limitations, please describe them here. *

Examples of limitations: blind, deaf, paralyses of limbs

Veterinarian Name *

Veterinarian Phone Number *

Is there anything else you think we should know about your pet? *

What are your training goals? *

Examples: I want a well behaved family pet. I want to eliminate a specific behavior such as jumping. I want to train my dog to be a therapy dog.

I agree to receiving marketing and promotional materials

Submit

Puppy/Beginner Foundations Training

$110.00

Submit Payment

Intermediate Class

$110.00

Submit Payment

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