Class you wish to enroll in

Felicity Dog Training School, Inc. - Class Registration

To register for one of our classes or seminars please complete the following form and submit it. Confirmation will be emailed. Registration for classes may be done by on-line registration or by completing the hard copy registration form.

Forms of Accepted Payment: Cash, Check and ALL Major Credit Cards

Credit Card Number: Expiration Date (MM/YY):

Amount to be Charged: Bank Number on reverse of Card:

Type Signature in Box to Verify Charge:

Step 3 - On-line Class Waiver and Release or

For information please contact Teresa Patton at clickerfun@aol.com prior to class.

Teresa Patton

7501 Wolf Run Shoals Rd.

Fairfax Station, VA 22039

(703) 978-0007

This page was last updated on Friday, February 29, 2008

Site designed by Lisa Knight

Class you wish to enroll in:
Day and time of that class:
Name:
Home Phone:
Work/Cell Phone:
Address:
City, State and Zip:
Email Address:
Breed of Dog:
Name of Dog:
Spayed or Neutered?	Yes No
Age of Dog?

Please check the commands your dog responds to reliably (100% of the time):
Sit Down Stay Come Heel Wait Back-up
Additional Commands? Yes Elaborate

Is your dog under voice control?	Yes No
How are your dogs attention skills? (eg. Do they respond the first time you call their name? etc.) Explain

Does your dog now, or has your dog ever displayed any aggressive behaviors toward you, other dogs or other people (eg. growling, lunging, biting, overly submissive etc)? Yes No Explain

Has your dog ever bitten another dog or person? Explain circumstances, provocations, after incident behavior. Were you able to intercede and terminate the incident? Yes No

Are you interested in training your dog beyond basic manners? If so what activities are you interested in (eg. advanced obedience, agility, rally, freestyle)?

Please list any other information that you think might be useful in helping me evaluate your dog for training:

Are your dog’s vaccinations current? (All listed below are required for entrance into group classes)
	DHLPP Rabies (over the age of 4 months) Bordatella