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CYBER DOG REGISTRATION FORM
ABOUT YOU
FULL NAME:
ADDRESS:
CITY, STATE, COUNTRY, ZIP CODE
PHONE NUMBER
EMAIL ADDRESS
Why are you enrolling in the Cyber Dog Course?
Where did you learn about Cyber Dog?
Please be as specific as possible - search for online classes? Karen Pryor Academy trainer list? Pet Expertise? A friend or relative? Other?
What do you know about Clicker Training?
I am a clicker trainer.
I have read about it.
I have tried it a little bit.
I don't think it will work with my dog.
I don't know anything about clicker training.
Other
Check all that apply.
If your answer was "other" please explain.
Do either you or your dog have any special needs we should be aware of?
ABOUT YOUR DOG
DOG'S NAME:
DOG'S BREED or BREEDS
DOG'S AGE
DOG'S SEX/STATUS
MALE NEUTERED
MALE INTACT
FEMALE SPAYED
FEMALE INTACT
DOG'S APPROXIMATE HEIGHT & WEIGHT:
How long have you had this dog?
Where did you get your dog?
Breeder
Rescue/Shelter
Re-home
Bred by you
Other
If "other," please explain
How old was your dog when it joined your household?
LIFE WITH YOUR DOG
Tell us about training that you have done with this dog or previous dogs.
What are your dog's favorite rewards?
What games do you play with your dog?
Please describe what your dog does when s/he meets a new person?
Please describe what your dog does when s/he meets a new dog?
What activities do you and your dog enjoy doing together?
What is something you really love about your dog?
GOALS
What are your hopes and goals for you and your dog in this course?
TIME
Which of these times will work for you for class meeting times?
Weekday Morning
Weekday Afternoon
Weekday Evening
Sat Morning
Sat Afternoon
Sat Evening
Sun Morning
Sun Afternoon
Sun Evening
Check all that apply.
Which time zone are you in? Go to http://www.timezonecheck.com/ to find out.
FINALLY
Anything else you would like to add?