Serving Upstate New York since 2007
30 Railroad Ave, Albany, NY
(518) 831-9192
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Diane Blackman, CPDT-KA, IACP-PDTI/CDTA, CTDI
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Registration: Advanced Class Assessment
Registration: Advanced Class Assessment
Please fill out this form to register for an Advanced Class Assessment with All Dawgs. We look forward to working with you and your dog!
Today's Date
*
Date Format: MM slash DD slash YYYY
Which advanced class are you hoping to enroll in?
*
Agility Foundations
Rally Obedience
Therapy Dawg Prep
Trick Dawgs
Client's Name:
*
First
Last
Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
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Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Phone:
*
Cell Phone (if different from Home Phone):
Email
*
Enter Email
Confirm Email
How did you learn about All Dawgs?
*
Event
Referral
Returning Client
Social Media
Web Search
Who referred you to All Dawgs?
*
Friend
Pet Store
Shelter or Rescue Organization
Vet's Office
What event did you attend and learn about All Dawgs?
*
Please list your friend's first and last name so we may thank them
*
Which Shelter or Rescue Organization referred you?
*
Which pet store referred you?
*
Which vet hospital told you about All Dawgs?
*
Would you like to receive our e-newsletter?
Yes
No
Dog's Name:
*
Dog's Date of Birth
*
Date Format: MM slash DD slash YYYY
Put best guess if adopted
Dog's Breed:
*
Dog's Gender:
*
Female - Intact
Female - Spayed
Male - Intact
Male - Neutered
What is the name of your vet hospital?
*
Has this dog ever bitten a person? This includes skin-contact by teeth but no skin-puncture (nipping) for dogs older than 6 months.
Yes
No
Please explain this dog's bite history.
*
For safety reasons, I understand that I may be required to purchase a muzzle approved by All Dawgs and train this dog to be relaxed in muzzle prior to the first lesson. The muzzle must be worn until my trainer grants its discontinued use. I understand that failure to follow this safety protocol may cause training may be discontinued without any refunds (Please initial).
*
What are your goals for this dog one year from now?
*
By initialing this box, you acknowledge that you understand there is a no cancellation policy for your Advanced Class Assessment appointment. This includes reschedules.
*
Comments
This field is for validation purposes and should be left unchanged.