Name *

First Name

Last Name

Phone *

(###)

###

####

What is the start date of the class in which you are interested? *

MM

DD

YYYY

Is your dog spayed or neutered? *

Yes

No

In this class, dogs remain on leash the whole time, but must be able to accept an on-leash greeting from another dog. Is your dog comfortable greeting other dogs on leash? *

Yes

No

Other (please explain below)

Does your dog ever bark in excitement or frustration when seeing another dog on leash? *

Yes

No