Puppy Class Registration Form Puppy Class Registration Owner's Name * Owner's Name First First Last Last Pet's Name * Pet's Date of Birth * Breed * Gender * Male Female Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Email * Phone * Best Way to Reach You * Phone Call Text Email Problems You Would Like to Address with Your Pet * Requirements: Puppies must start between the ages of 7-12 weeks An exam by a Doctor of Veterinary Medicine 1st DHPP vaccine, and oral Bordetella Has received vaccines no less than 10 days prior to starting class Vaccines must have been given by a Doctor of Veterinary Medicine (vaccines from breeders or Tractor Supply will not be accepted) Preventions must be started and continued through classes Your pet must stay current on vaccines through classes Owners Be Prepared for Class: Absolutely NO prong/choke/chain/shock collars MUST have a buckle/snap collar or harness and leash for your pet the first class Please bring treats or food (preferably in small pieces) for training during class I understand that if I am bringing any children under the age of 10yrs that they need to have an adult present for the child as well as an adult present for the puppy. Signature * signature keyboard Clear Date * Captcha Submit If you are human, leave this field blank.
