Puppy Pre-School - $70 for 7 week course

Owner's Name:  

Address:

City: State:

Zip:

Home phone: Work phone:

E-Mail address:

Dog's name:

Breed:

Birth date: Sex: Male Female Neutered Male Spayed Female

Veterinarian:

Your Vet's Phone number:

For the safety of our students, all puppies must be current on their vaccination series. This includes at least 2 series of DHLPPV, corona and bordetella (for puppies over 9 weeks), and rabies (for puppies over 14 weeks). Dogs must be free of external parasites (fleas, mange etc) and will not be able to attend class if being treated for contagious conditions.

Vaccination History Dates:
DHLPPV, CV 1st:
Bordetella:
DHLPPV,CV 2nd:
Rabies:

By submitting this form I acknowledge that I have read and agree to the Registration Form in full. No refunds will be given after the first week of class.