Registration with a Voucher
Class that voucher is for:
*
Foundations to Freedom
Puppy Freedom
Treibball Level 1
By checking this box, I understand that I will be required to present an original copy of the voucher on the first date of class. I also understand that I will be required to pay 5% GST on the voucher amount as required by law. Furthermore, I understand that these classes are for dog and human friendly dogs only.
*
I agree
Class Start Date
*
MM
/
DD
/
YYYY
Alternative Start Date
*
MM
/
DD
/
YYYY
In the event your preferred start date is full, please enter an alternative start date.
Voucher Number
*
Name
*
Prefix
First
*
Last
*
Suffix
Phone Number
###
-
###
-
####
Email
Dog's Name
Dog's Picture (optional)
We'd love to see a favorite pic of your dog!
General Information
My dog's favorite toy is:
My dog's favorite game is:
My dog's favorite activity is:
My dog's favorite treats are:
My dog's least favorite thing is:
Training
Has your dog had any previous training?
Yes
No
If "Yes", who provided the training?
If "Yes", what tools, techniques were used?
Common Behavioral Challenges
Please check all that apply
Barking (Excessive)
Chews/Licks Itself
Destructive Digging
Destructive Chewing
Does not listen
Escaping
Excitable
House Soiling
Jumps Up
Overactive
Phobias (thunder/cars/etc.)
Pushy/Demanding
Tail Chasing
Separation Anxiety
Shyness
Sleep Concerns
Stool Eating
Submissive Urination
Please list any other behaviors not listed above:
Does your dog have any food allergies?
Yes
No
If "Yes", please describe:
Final Comments
Is there anything else you’d like to tell us about your dog?
Additional Comments
By checking this box, I understand that I will be required to present an original copy of the voucher on the first date of class. I also understand that I will be required to pay 5% GST on the voucher amount as required by law. Furthermore, I understand that these classes are for dog and human friendly dogs only.
*
I agree