- Sit.Stay.Obey!

Owner Information

First Name * Please enter your first name.

Last Name * Please enter your last name.

Phone Number * Please enter a valid phone number.

Email Address * Please enter a valid email address.

Address

Emergency Contact Name & Phone

How did you hear about us?

Pet Information

Dog’s Name * Please enter your dog’s name.

Breed

Age * Please enter your dog’s age.

Weight (lbs)

Color / Markings

Sex *

Male Female

Spayed / Neutered *

Yes No

Veterinary Information (optional)

Veterinarian Name

Vet Phone Number

Current Vaccinations (check all that apply)

Rabies Bordetella (Kennel Cough) DHPP (Distemper / Parvo) Leptospirosis Current on flea & tick prevention

Any known health conditions or allergies?

Training Goals

What would you like to work on? * (Select all that apply)

Basic obedience — sit, stay, down, come Leash walking & loose leash manners Advanced obedience — off-leash skills Behavioral concern — excessive barking Behavioral concern — jumping on people Behavioral concern — reactivity (dogs, people, sounds) Behavioral concern — aggression Other

Please select at least one training goal.

Please describe your other goal

Has your dog had previous training?

Yes No

Is your dog comfortable around other dogs and people?

Anything else we should know about your dog?

Liability Waiver & Agreement

I understand that group dog training involves interaction with other dogs and people, and that inherent risks exist. I confirm that my dog is free of contagious illness. I agree that Sit. Stay. Obey! and its trainers are not liable for injury to my dog, myself, or third parties arising from participation in group classes. I agree to maintain control of my dog at all times and to follow all trainer instructions. I confirm that all information provided in this form is accurate and complete. I understand that payment of $20 per session is due prior to or at the start of each class, and that sessions are non-refundable once attended.

I have read and agree to the liability waiver above. * You must agree to the waiver to register.

Full Name (Signature) * Please type your full name as your signature.

Today’s Date * Please enter today’s date.

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