Registration Form  
 

Registration Form

Owner Information

First Name*
Last Name*
Address*

Street Address

Address Line2

City*

State/Province/Region*

Postal ZIP Code*

Country

Home Phone*
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(###)

  -
(###)

  
(####)

Cell Phone
  -
(###)

  -
(###)

(####)
Email Address*
How did you hear about us?
Dog Information

Name
Birth Date
Breed
Color
Gender
Neutered Spayed
TRAINING/BEHAVIOR INFORMATION
Agility 1
Agility 2
Canine Good Citizen
Classes
Basic Obedience 1
Basic Obedience 2
Puppy Socialization
Leash Manners 101
Seminars
How long have you owned your dog?
Did you rescue or purchase from a breeder?
Characterize your dog's temperament (shy, reserved, energetic, etc.)?
Explain how your dog interacts with people.
Is your dog partial to men or women?
Yes No
Describe how your dog interacts with other dogs?
Does your dog have any known health issues?
How much daily exercise does your dog get (leash walk, off-leash walk, ball, etc.)?
Do you use or plan to use any kind of electrical training devices? (invisible fence, remote collar, bark collar, etc.)
Does your dog use a crate?
Yes No
Does your dog walk well on a leash?
Yes No


 
   
 
DOGHOUSE 2420 E. North Territorial, Whitmore Lake, MI 48189 | PH: 734-222-0655 | FX: 734-222-0644 Our Policies | The Doghouse Copyright © 2010
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