Puppy Questionnaire Please complete this form if you are enrolling in Kinder Pup 1 or Puppy Playtime: Your Name Your Email Name of Class Address City, State Zip Primary Phone Number Alternate Phone Number Dog's Name Breed Age Gender MaleFemale Food Allergies (if any) Vaccination Dates: Rabies DHLPP Upload Vaccination Files (if available) Note: Please bring appropriate vaccination forms on the first day of class. How many people will be attending this class? What attracted you to this class? What do you want your puppy to learn? What do you want to learn? Whom may we thank for the referral? If your puppy has met friends and strangers how does he respond to them? Does your puppy enjoy being handled and held by you? Is there an adult dog in your household? Does your puppy and adult dog interact? Please describe. Do you have any specific behavioral concerns about your puppy? What do you love most about your puppy? What do you like least about your puppy? List your puppy's 5 favorite food treats. List your puppy's 5 favorite activities. Do you have any concerns or physical limitations that might make the class difficult? Do you have any suggestions to make the class more enjoyable for you? Waiver, Payment, and Cancellation Policy I have read, understand and accept the terms of the Class Waiver, Payment, and Cancellation Policy. Accept Date of Class Waiver, Payment, and Cancellation policy acceptance: Δ
