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Submitted by casey on Fri, 02/11/2011 - 5:00pm
Personal Information
First & Last Name:
*
Phone Number:
*
Email:
*
City:
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Zip Code:
*
How did you hear about us?:
My dog is a:
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New WP student
Current WP student, but new to Playgroups
Dog Information
Name:
*
Breed:
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Gender:
*
select...
Male
Female
Spayed/Neutered:
*
select...
Yes
No
How many sets of vaccinations will your pup have upon first attendance? :
set(s)
(Pups must have their second set of vaccinations for at least 7 days prior to first attendance.)
Birthday:
*
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Age (upon first playgroup attendance):
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How much does your dog weigh?:
*
select...
Under 12 lbs (Tiny Tyke)
12-25 lbs (Lil' Tyke)
25-55 lbs (Big Tyke)
Does your dog have any food restrictions or allergies? If yes, please explain.:
*
In general, what personality type is your dog?:
*
select...
Fearful
Easy Going
Overly Confident
Socialization and Training History
How much experience has your dog had with people outside of your household?:
*
select...
None
Some
A lot
How much experience has your dog had with dogs outside of your household and litter mates?:
*
select...
None
Some
A Lot
How does your dog behave when ON-LEASH around other dogs?:
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Fearful
Shy
Relaxed
Confident
Excited
Playful
Pushy
Overly Excited
Aggressive
How does your dog behave when OFF-LEASH around other dogs?:
*
Fearful
Shy
Relaxed
Confident
Excited
Playful
Pushy
Overly Excited
Aggressive
Does your dog go to daycare and/or the dog park?:
Daycare
Dog Park
Has your dog ever been in a scuffle with another dog? If yes, please explain.:
*
Has your dog ever become protective over food, toys or attention from you? If yes, please explain.:
*
What level of basic training has your dog completed?:
*
select...
None - Haven't started yet!
Beginner
Intermediate
Advanced
Questions/Comments:
