All Fur Paws, LLC

Private Lessons Registration Form

Check the box next to the desired service and complete the balance of the form.
Services are packages of three (3) lessons, excpet for Single Lesson and Behavior Consultation.
Base fees are listed. Mileage fee might apply.
Attach proof of vaccinations and submit. You will receive an automatic response.
I'll contact you to confirm and discuss scheduling, payment, etc.
Any questions, email kwaugus@yahoo.com or call (920) 210-0764.

Owner Information

Owner's first name

Owner's last name

Street Address

City / State / Zip

Email (make sure accurate)

Phone

About your dog

What is your dog's Name? Age? Breed? Sex?

Is this your first dog?

Yes

No

How long have you had this dog? Ar what age did you get him/her?

Where did you get your dog from?

Are there other pets in your home?

Yes, I have other dogs

Yes, other pets

No other pets

Other

Is your dog crate trained?

Yes

No

Working on it

Having issues

Health Information

Name and location of veterinarian

Date of last exam:

Month

Day

Year

Is your dog spayed/neutered?

Yes

No

Surgery scheduled

Does your dog have any medical concerns?

No

Yes, Please List

Is your dog up to date on rabies, bordatella, and distemper vaccitinations? (attach proof below)

Yes

No

Is your dog on heartworm medication?

Yes

No

Please read and check each box.

As the owner above the said said dog, I agree the information provodied is true and accurate to the best of my knowledge.

I understand that acceptance into the desired classes/session is not confirmed until I have received a confirmation email from All Fur Paws, LLC.

I understand that no refunds are given and the ability to transfer to another session is at the sole discretion of All Fur Paws, LLC.

FEMALE DOGS: If my dog is intact comes into heat, I understand I will not be allowed to attend class and transferring to another session is at the discression of All Fur Paws, LLC.

By entering your name below, you acknowledge you have read an understand all the above statesments.

Date

Month

Day

Year

Proof of Vaccinations