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C&C PALS Class Registration Form
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Indicates required field
Class Information (select one)
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Group Basic Obedience Class for Junior Puppies(5 months under)
Group Basic Obedience Class for Senior Puppies & Dogs (Over 5 months, no training)
Group Shaping Up Training Skills Class
Group Advanced Manners Class (For dogs with at least 1 year previous positive obedience training)
Group K9 Nose Work - Intro Class
Group K9 Nose Work - Intro to Odor Class
Group K9 Nose Work - Continuing (Intro to Vehicles) Class
Group Intro to Rally O Class
Group Outdoor Adventures: Leaving Tracks All Over Town Class
Group Conformation Handling Class
Group Canine Good Citizen (CGC) Class
Group Tricks Class
Group Foundation for Dog Sports & Competition Obedience/Rally Class
Private Lesson Series
Private Behavior Consultation
Select Class You Wish to Attend
Class Location
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McLean
Springfield
Owner's Information
Owner's Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Home Phone
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Cell Phone
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Work Phone
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Email
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OK to share email with ODHA Center
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Yes
No
Dog's Information
Name
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Breed
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Date of Birth
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Breeder (if known)
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Age
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Sex
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Female
Male
Neutered/Spayed?
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Yes
No
Vaccination Date Information
Rabies
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Put NA if dog under 4 months of age
DHPP
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Bordetella (Kennel cough)
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Not mandatory, but put date if given
Vet Clinic/Vet
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Problems
Has your dog ever bitten a person?
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Yes
No
A dog?
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Yes
No
If so, how many times? Person
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Dog
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Severity? Person
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1 (snapping at, not touching)
2
3
4
5 (several rips, tears or punctures)
Dog
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1 (snapping at, not touching)
2
3
4
5 (several rips, tears or punctures)
Additional Comments:
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Temperament
How would you describe your dog’s behavior with other dogs, i.e. aggressive, passive, rowdy, shy, etc.?
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Goals
What are the primary areas of behavior that you would like to work on in this class and what are your goals from this class?
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Do you plan on showing your dog in breed competition?
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Yes
No
In obedience competition?
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Yes
No
In other? (explain)
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How did you hear about C&C PALS?
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Cancellation Policy -
Please Read Carefully
Classes are subject to rescheduling or cancellation. Should this occur you will be immediately advised of the next available class and/or offered a refund of any payment made. If you need to cancel your registration, please do so early.
A cancellation after the start of class will incur a 100% cancellation fee.
Once a registered dog has left the class, regardless of reason, the fee will be non refundable and non transferable
. Once a class has started if you wish to move
the registered dog
to a future class this will
incur an additional fee of 60% of the cost of the class,
as this removes a space in the future class that could be sold at 100%. If there is a medical emergency with your dog, that prevents you from coming to the scheduled class, we will need a note from your vet. We will try to accommodate changes within limits of our class schedules and attendance.
Please check that you have read and agree with the above cancellation policy.
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Agree
PLEASE NOTE:
C&C PALS reserves the right to excuse any dog from class that is exhibiting aggressive or inappropriate behavior without any refund.
Release
By submitting this form you acknowledge and agree that your participation in dog obedience training involves some risk and you knowingly assume all risk attendant thereto. You likewise disclaim and indemnify and hold harmless the officers, directors, and employees of C&C PALS, LLC from any and all loss, damage, and expense caused by reason of your participation in dog obedience training.
Please check that you have read and agree with the above release statement.
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Agree
Please check that you agree the above information is accurate and complete to the best of your knowledge.
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Agree
Submit