Name

Phone

Address

Email

Dog's name

Age/dob

Breed/type

Sex

Has your dog got any health problems (eg allergies) I need to be aware of? (Continue overleaf if necessary).

What 3 words would you use to describe your dog?

1

2

3

Do you routinely allow your dog to run off lead with other dogs? Yes/No

If no, why not?

How would you describe your dog's behaviour on lead with strange dogs? Very friendly/wants to play/takes no notice/wary/barks/growls/don't know. Or use your own words to describe your dog's behaviour...

As far as you know has your dog ever shown any aggression (lunging, barking, snarling, biting) towards another dog? If so, please describe overleaf or contact me. Specialist classes are being organised.

What do you hope to gain from the classes?

I wish to join the Foundation class and the Puppy/Beginner Family dog class (please delete as appropriate).

For which I enclose £