Owner Information

Name*

Address*

Town/City*

State*

Zipcode*

Home Phone*

Mobile Phone*

Other Phone

Email*

Dog Information

Dog's Name*

Dog's Age/D.O.B. (or best guess)*

Breed (or best guess)*

Sex, spayed or neutered?*
 Neutered Male Spayed Female Unaltered Male Unaltered Female

Vaccinations Current?*  Yes No

Class Information

Class Desired* ---Crossfit Canines 101; Intro to FitPAWS Tue @6pm - starts 8/21RallyX Tue @7pm - starts 8/21FitPAWS independent exercise Tue @8pm - starts 8/21Agility – Skills & Drills Wed @1pm – ongoing class call for a spotCompetitors, Agility – Skills & Drills Wed @2pm – ongoingAgility Foundations 2 Wed @5pm - starts 8/222x2 weaves - 6pm - starts 8/22Agility Foundations 3 Agility Foundations 4 Wed@8pm – starts 8/1S.T.A.R. Puppy class Thu @11am – ongoingAgility Troubleshooting Thu @6pm - starts 8/30Agility Foundations 2 S.T.A.R. Puppy Class Sat @9am – ongoing class call for a spotFamily Dog 1 Sat @10am – starts 7/28Family Dog 2 Impulse Control Sat @12pm – starts 9/22

Other Class (please indicate)

Goals/Issues

Has your dog ever bitten a person or dog or shown any aggressive behavior? *  Yes No

If yes, please explain:

How did you hear about Training With Grace? (Please be specific)

By submitting this form you agree to the terms and conditions outlined in the Class Participation Agreement.

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