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