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GillRidge216 Canine Campus Registration
The following questionnaire must be filled out by all class participants. All attendees must also sign a waiver and photo release on your first night of class.
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Name
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Your answer
Address
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Your answer
Phone Number
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Your answer
Email Address
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Your answer
Dog's Name
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Your answer
Dog's Breed
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Your answer
Dog's Gender
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Male
Female
Dog's Age
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Your answer
Has your dog been spayed or neutered ?
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Yes
No
Give me a little info on your dogs history. Where did your dog come from, Registered Breeder, Home Breeder, Rescue? Are you its's first home? What age was your dog when you got it?
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Your answer
Does your dog have any allergies or other health issues? Medications? If yes please list all.
Your answer
Have you taken any previous classes with this dog? If yes where and what did you take?
Your answer
Give us some information as to what challenge or challenges have brought you here?
Your answer
What have you tried in order to correct this issue?
Your answer
When did this begin?
Your answer
Has there been any changes in your household eg, new members, death of a family member, move?
Your answer
Is your dog crate trained?
Your answer
Is your dog alone in the house for a number of hours a day?
Your answer
What are the feeding habits?
Your answer
What are the exercise habits?
Your answer
How many people live your your home?
Your answer
Are there children in the home?
Your answer
Are there other pets? If so please list what and how many.
Your answer
What is the interaction like between your dog and other members of the household?
Your answer
Has your dog ever bitten a person and if so to what severity?
Your answer
Has your dog ever been in a dog fight? If so how many times and did either dog have to go the the vet.
Your answer
What is your environment like example, house apartment, fenced yard?
Your answer
What are your goals in taking this training?
Your answer
Is there anything else you believe we should be aware before you begin your training with us?
Your answer
Payment Method 1 one hour aggression session $175.00 including HST. Reactive dog group class 6 weeks one hour per week max 4 dogs $200 including GST after the initial one hour private and only if appropriate. Basis behaviour modification No aggression issues 1 one hour session 150. Including HST. All include a follow up email with a 4 week plan to get you started in the right direction. No refunds permitted. Payment must be received on or before the first class.
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Etransfer (Preferred method of payment)
Cash
Cheques
Credit Card (Online only. Please contact Gillridge to arrange for invoice to be sent prior to first class)
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