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Student Application for AnimalSense

Fill in our online application to sign up for AnimalSense Canine Training Classes.

Which class are you interested in:
How did you hear of us:
Your name:
Your email:
Names of other family members:
Telephone:
Evening Phone:
Address:
City:
State:
Zip Code:
Name (dog):
Breed:
Color/Markings:
DOB (if unknown, estimated DOB):
Where did you acquire your dog:
How old was s/he when first brought home:
Gender:
Spayed or Neutered:
If you plan to spay or neuter, please tell us the approximate surgery date:
If you don't plan to spay or neuter, please tell us the reasons:
Veterinarian:
Date of last vet visit:
Does your dog have a chronic medical condition, surgical history, take any medication, or eat a special diet:
Is this your first dog as an adult:
What if any types of dogs have you lived with in the past - including childhood:
Are there any other pets living in your home:
If so, please list:
If there are children living (or visiting frequently) in the home, please list their ages, date of birth, and gender:
Did you or are you currently crate training your dog:
Please describe how and when you use the crate:
Have you read any training books:
If so, which ones, and what did you like and/or dislike about them:
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:
If applicable, how did your dog respond to the training:
What are some training issues or problems you are experiencing with your dog:
Please list your goals for this class:
Questions or comments:

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.

Fields marked with a are required fields.


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