Puppy Social Questionnaire

Your Name

Your Email

Name of Class

Address

City, State Zip

Primary Phone Number

Alternate Phone Number

Puppy's Name

Breed

Age at time of first Puppy Social

Gender
 Male Female

Food Allergies (if any)

Vaccination Dates:

Rabies

DHLPP

Titer

Upload Vaccination Files (if available)

Note: Please bring appropriate vaccination forms on the first social.

How many people will be attending puppy social?

Whom may we thank for the referral?

How many puppy friends does your puppy have?

How often do they play off leash?

Do you have an adult dog at home that plays regularly with your puppy?

Are you attending a puppy class with your puppy? If so, where?

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 puppy social difficult?

Do you have any suggestions to make the socials 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: