AKC S.T.A.R. Puppy Class Registration Form
Please fill out the form carefully for registration.
Owner's Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Date of the first class you are signed up for.
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Puppy's Name
*
Puppy's Breed
*
Puppy's Sex
Please Select
Male
Female
Is your puppy spayed/neutered?
*
Yes
No
What veterinarian does your puppy see?
Puppy's Estimated Birthday (Must be under 5 months at start of class!)
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
What problem behaviors is your puppy exhibiting?
Jumping
Mouthing/Nipping
Potty Accidents
Stealing Things
Being Destructive
Anxiety
Unruliness/Hyperactivity
Leash Pulling
Humping
Digging
Escaping
Fearful/Timidness
Other
Has your puppy ever bitten anyone?
*
Yes
No
only play biting which is normal to puppy behavior
If yes, explain. Did the bite result in medical attention?
Is your puppy aggressive with other dogs?
*
Yes
No
If yes, explain:
Vaccination Records - It is required that your puppy has seen a vet and started their routine vaccinations.
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Records can also be emailed to cherryhillcanine@gmail.com or texted to 724-599-4117.
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Medical Conditions
Epilepsy
Hip Displaysia
Arthritis
Heart Disease
Other
What is the brand and flavor of puppy's food and treats:
Does your puppy have any known food allergies?
*
Yes
No
If yes, please list them below:
Do you give Cherryhill Canine, LLC permission to post information and pictures of your dog/puppy on social media pages? Giving this permission is not required for training.
Yes
No
How did you hear about us? Was it your veterinarian, groomer, or animal shelter? If it was a friend or family what is their name? We would love to say thank you!
The owner understands and agrees that they are being trained to train their puppy and that without 100% cooperation with the trainer, the puppy will not get trained.
*
I understand
The owner understands and agrees to the following cancellation/refund policy: In the event of bad weather trainer will cancel class the afternoon before class, and this session will be added to the end of the class. Any other sessions missed by clients are not guaranteed to be made up or rescheduled. Refunds will not be given for missed group classes.
*
I understand
Vaccination Records - It is required that your puppy has seen a vet and started their routine vaccinations. Vaccine records can be sent via email to cherryhillcanine@gmail.com or via text to 724-599-4117.
*
I understand
Signature
*
Payment for Class - In order to hold your spot for class you must be paid in full.
*
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Puppy Training Class
$175.00
$
175.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
ACH Bank Transfer
Afterpay
After submitting the form, you will be redirected to Afterpay to complete the payment.
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