Name:
Address
Home Phone
Cell Phone
Email Address:
Class you wish to enroll in
Date and Time of Class
Name of Dog
Breed of Dog
Is your dog Spayed or Neutered?
Yes
No
Age of Dog
Please check the boxes of the commands your dog responds to reliably 100% of the time
Sit
Down
Come
Heel
Stay
Wait
Back up
Explain any further information
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?
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)
Yes
No
DHLPP
Rabies (Over 4 months)
Bordatella
Please mail check with class tuition to
Felicity Dog Training School
3128 Bonnie Brae Lane
Amissville, VA 20106
I understand class tuition must be sent by check in order to secure a class signup before the class start date.