WELCOME TO THE B. PAWS-ITIVE ONLINE REGISTRATION FORM

 

To use this form just fill out the form fields below and then press Submit Registration. Once you submit this online registration you will receive confirmation of your registration via email.

 

Upon submission you will also receive a confirmation page that will prompt you to pay for your classes through the use of my shopping cart system. Just click on the "Step 2 - Pay for Classes" link to get to the cart.

 

All fields labeled with * are required.

 

Form Part 1

*Dates of Classes:
Type of Class:
*Owners Name:
*Address:
Address 2:
*City:
*State:
*Zip:
*Home Phone: (ie...xxx-xxx-xxxx)
Work Phone: (ie...xxx-xxx-xxxx) Ext:
*Email:

Form Part 2
*Dog's Name:
*Breed:
Sex:
Spayed/Neutered:
When:
D.O.B.:
*Age:
Acquired By:
From:
Vaccinated:
Veterinarian:
*Referred By:

Form Part 3
Behavior Problems: (Please Check all that Apply)

Housebreaking  Marking  Submissive Urination  Shy  Anxiety  Chewing  Running Away

Barking  Digging  Jumping  Leash Pulling  Steals Items and Runs  Guards Items  

Guards Food  Bites Owners  Bites Guests  Bites Strangers
If Yes to biting, was skin broken:
If Yes to biting, How often:
Can you handle dog toes, ears, tail:
Other issues or concerns:
Training Goals:
Have you taken other dog obedience classes:
If yes, where:
Where does your dog spend most of it's time:
If other:

 

Thank You for the opportunity to teach you and your dog. If you like my service remember to tell a friend.

 

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