Owner's Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Lesson Type *

Please check only one.

Wonderpuppy (In Person)

Wonderpuppy (Virtual)

Wonderdog Manners (In Person)

Wonderdog Manners (Virtual)

Wonderdog+ (In Person)

Wonderdog + (Virtual)

Wonderdog+ Consultation

Gender *

Male

Male—Neutered

Female

Female—Spayed

Does your dog have any food allergies? *

Yes

No

Do you have other dogs in your house? *

Yes

No

Has your dog had obedience training? *

Yes—Group Class

Yes—Private Instruction

I trained my dog at home

No

Has your dog ever nipped, snapped, bitten, or otherwise injured anyone? *

Select all that apply

Yes, nipped

Yes, snapped

Yes, bitten

Yes, injured

No