Puppy Questionnaire

Please complete this form if you are enrolling in Kinder Pup 1:

Your Name

Your Email

Name of Class

Address

City, State Zip

Primary Phone Number

Alternate Phone Number

Dog's Name

Breed

Age

Gender

Food Allergies (if any)

Vaccination Dates:

Rabies

DHLPP

Upload Vaccination Files (if available)

Note: Please bring appropriate vaccination forms on the first day of class.

How many people will be attending this class?

What attracted you to this class?

What do you want your puppy to learn?

What do you want to learn?

Whom may we thank for the referral?

If your puppy has met friends and strangers how does he respond to them?

Does your puppy enjoy being handled and held by you?

Is there an adult dog in your household?

Does your puppy and adult dog interact? Please describe.

Do you have any specific behavioral concerns about your puppy?

What do you love most about your puppy?

What do you like least about your puppy?

List your puppy's 5 favorite food treats.

List your puppy's 5 favorite activities.

Do you have any concerns or physical limitations that might make the class difficult?

Do you have any suggestions to make the class more enjoyable for you?

Waiver, Payment, and Cancellation Policy

I have read, understand and accept the terms of the Class Waiver, Payment, and Cancellation Policy.
 Accept

Date of Class Waiver, Payment, and Cancellation policy acceptance: