Group Class — New Student Questionnaire

Please provide the following information so we can help your dog become the perfect family companion.

* = required field

    *Your Name (first & last):

    Although there is only one handler per dog, all household members are encouraged to attend.

    *Email:

    *Dog's name:

    Class name:

    How did you year about me?

    Would it be OK to publish class photos of you and your dog on Facebook and/or my website or newsletter? YesNo

    Phone:

    Veterinarian:

    How/when acquired?

    Dog's breed:

    Name of breeder/shelter:

    Sex of dog: MaleFemale

    Age:

    Spayed/neutered? YesNo

    Current on shots/titers?

    Date of last shots:

    Your Dog Challenges: JumpingHousetrainingChildrenMeeting DogsPossessiveCatsChewingBiting/nippingAggressionSubmissive urinationCome Here!GrowlingLeash walkingBarkingSeparation anxietyOther (describe below)

    Other Dog Challenges:

    What do you hope to accomplish with your dog? Tell me your goals:

    CHECK THIS BOX to get Colleen's Class Update & Monthly Training Tips!

    Group class refunds will be given up until one week before the first day of class - minus a $10 handling fee. No refunds will be given after that point.

    In-person Group Classes are for healthy people & friendly and healthy dogs who are current on shots & can work safely around other dogs and people.

    ***COVID-19 UPDATE: I am excited to welcome vaccinated students back for in person training!***

    I am physically able to handle my dog and assume full responsibility for my dog's actions and agree to hold harmless Colleen Shanahan & hosting facility.

    I have read, understand, and agree to the above. *

    * Please type this code in the box: captcha

    After pressing Submit, you will receive a copy of this questionnaire in your email.