Attention: classes starting in June 2020.Training teams: maximum of 8 and minimum of 5. Face coverings appreciated. * indicates required fields Do you prefer a printed version of the form? Downloadable enrollment form * CLASS Puppy (less than 6 monthsBasic Manners4-Week CGCWeek 5 CGC * Class start date STUDENT INFORMATION * Full Name * Street Address Apartment/Unit * City * State * ZIP Code Mobile Phone * Email * Dog's Name * Breed * DOB/Age * Dog's Gender MaleFemale * Dog's Status SpayedNeuteredIntact * Veterinarian * Phone Number Where did you get your dog? BreederShelter When? Do you have other dogs / cats in house? YesNo TRAINING INFO * Have you taken any obedience classes before? YesNo If so, what and when? * Have you and your dog taken any classes together? YesNo If so, what and when? * Any problems or issues? YesNo If so, please explain * Has your dog ever bitten another dog or person? YesNo If so, please explain * HOLD HARMLESS I understand that participation in dog obedience training classes is not without risk to myself, my family or dog. I therefore waive and release CampJan, Jan Nuzzo and Smart Dog Training Center from any liability for injury or damage suffered as a result of attending this class or any private lessons. This includes any damage or injury resulting from any person or dog, or any accident occurring on these grounds. By clicking to accept and submitting this form, I agree to accept all responsibility for actions of myself, my guests and my dog. I accept Please leave this field empty.