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Application
/ Student Information
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Class
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How
did you hear about OPCLC?
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About
You
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*Name
(human)
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Email
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(more
humans) Partner and kids names
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*Home
Phone
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Alternate
Phone
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Address
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City
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State
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Zip
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About
Your 4-legged Pal
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Name
(dog)
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Nickname
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Breed
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Color/Markings
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DOB
(if unknown: day you celebrate their
birthday, or estimated DOB)
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Where did you acquire your dog? |
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How old was your dog when you brought him / her home? |
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Sex
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Spayed / Neutered?
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If you plan to spay or neuter, please tell us the approximate surgery date
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If you plan to keep your dog intact, please tell us the reasons:
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Medical Stuff
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Veterinarian
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Date
of last vet visit
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Does your dog
have a chronic medical condition, surgical history, take any medication,
or eat a special diet?
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Pet History
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Is
this your 1st dog as an adult?
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What
if any types
of dogs have you lived with in the past? (Including childhood)
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Home Stuff
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Are
there any other pets living in your home?
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If
so, please list.
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If
there are children living (or visiting VERY frequently) in the home,
please list their ages, date of birth, and gender.
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Training
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Did
you or are you currently crate training your dog?
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Please describe how and when you use the crate:
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Have
you read any training books? |
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If
so, which ones, and what did you like
and/or dislike about them?
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Please
list and describe any prior training.
Include dates, class type and your level
of satisfaction. Please include any
"at-home training" you have
done with your dog.
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If
applicable, how did your dog respond
to the training?
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What
are some training issues or problems
you are experiencing with your dog?
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Please
list your goals for this class.
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Questions
or comments?
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Note:
Submission of this application is not
complete until a signed "AnimalSense
Policy and Waiver" is signed and
returned to class instructor. Waivers
will be provided for signature on first
day of class.
*required
fields
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