Registration

City(*)
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Class Selection(*)
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Handler's Name(*)
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HANDLER INFORMATION

Address(*)
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State(*)
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Zip Code(*)
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Primary Phone(*)
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Secondary Phone
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Work Phone
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E-Mail Address(*)
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DOG INFORMATION

Dog's Name(*)
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Dog's Breed(*)
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Dog's Sex(*)
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Neutered / Spayed(*)
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Dog's Age(*)
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DOG'S HEALTH INFORMATION

Distemper(*)
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expiration date

Parvo(*)
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expiration date

Please estimate future date for your rabies vaccine for puppies only. This is a required field.

Rabies(*)
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expiration date

Veterinarian's Name(*)
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Veterinarian's Hosptial or Clinic Name(*)
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Proof of your dog's shots will be required at your first class meeting.

Please tell us if your dog has any food allergies.
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TELL US ABOUT YOURSELF

Have you owned a dog before?(*)
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Have you trained a dog before?(*)
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How much exercise does your dog get each day / week?
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If you have trained a dog before, to what level of training?
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What do you like most about your dog?
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What do you hope to achieve from this class?(*)
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What frustrates you the most about your dog?(*)
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How did you find out about Creation's?(*)
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If other, please specify.
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Please check which discount applies.
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Creation's now accepts major credit cards in the main office. Cash and check are due on the first night of class!

Desired Payment Method(*)
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IMPORTANT MESSAGE: PLEASE DO NOT BRING DOGS ON RETRACTABLE LEASHES. If you have a retractable leash and you use it with your dog, please leave it in your car when you arrive for class. These leashes can be extremely dangerous for both you and your dog as well as anyone who might be assisting you. We thank you for not using retractable leashes at our facility.

I, the undersigned, hereby agree that Creation's Dog Training Center, LLC, shall not be held responsible for any injury, damage, or loss that my dog or I might receive while attending training classes or while on Creation's Dog Training Center property. I further agree to pay for any injury or damage that my dog may cause to other animals, people, or property while on CDCT property. Dog and handler may be dropped from class with no notice at the discretion of the class instructor or the Director of Training and/or the Assistant Director of Training. Violation of rules may result in your being asked to leave CDTC. Examples of behavior that may necessitate expulsion include but are not limited to, aggression, abusive training, intoxication, and lack of cooperation. Creation's Dog Training Center has the right to deny training, classes, or use of their facility for any reason, provided the reason does not violate state or federal laws. I also understand and give permission that any picture / video taken during a class or on Creation's property by Creation's staff may be used on Creation's Dog Training Center's website, Facebook page, or may be used for various promotional materials.

Typing your name here constitutes permission for the above.(*)
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Date(*)
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Type the characters you see in this box.(*)
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