Family Dog class form | Cold Nose Companions

Name*

First Last

Phone*

Email*

City of Residence*

I understand that the adult guardian who is participating in this class needs to be physically able to manage both the dog as well as the children for the entire class time and without the use of choke, prong, or shock collars. The adult also needs to be attached by a second leash to the dog at all times.*

Participant Child's name*

Child's age*

Second Participant Child's name (if any)

Second Child's age (if any)

Dog's name*

Dog's gender*

Dog's approximate birthdate*

Dog's approximate weight*

Dog's breed*

mixed breed
not mixed breed

If not mixed breed - which breed?

Due to the nature of this class, dogs will have to fulfil strict criteria to be around children. Please confirm that your dog*

Please check all that apply. If you feel you need to discuss one or more points, please leave details in notes below.

If necessary, please provide details for above

How did you hear about us?*

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Family Dog - training for the family

Family Dog class