Owner's Name
Home Phone     Cell Phone
Email Address  
Street Address  City/Zip
Dog's Name              Birthday
Breed     Male  Female    Spayed/Neutered?
Where did you get your dog?
How old was your dog at the time?
Please let us know how you heard about us:
A Friend    Saw Sign   Google   Other Internet Search   Coupon
Other (please specify)

Class Info
Class(es) you would like to enroll in 
Class start date(s) and time(s)   


Please select the words that describe your dog
 Protective    Alert         Silly     Sweet  Goofy   Happy
Possessive  Immature Pushy Active   Shy      Hyper     Aggressive   Jealous     Mean  Defensive
                         
             
 Please select any of the behaviors that might sometimes apply to your dog:
Not housetrained     Destructive  Doesn’t obey  Mouthy
Separation Anxiety   Submissive Demanding     Growls
Chews excessively  Runs away  Territorial        Predatory
Eats non-food ItemsJumps Up   Attacks dogs   Fearful  
Attacks people          Dominant    Food thief       Anxious
Barks excessively    Bites           Digs    

Please select the four skills that your dog needs to improve on the most:
Come when called                               Leave it
Polite leash manners (not pulling)      Go to the rug
Obey you around distractions            Drop it 
Polite greeting manners                      Stay
Sit                                                          Down
Wait at doors for you to go through first    
               

Please add any comments on your dog's behaviors and your training goals:

CANCELLATION POLICY
 In the event that a class is cancelled, all fees collected will be fully refunded.* Should any participant withdraw from a class, no refund will be given. No pro-rates are given for missed classes.   You will be welcome to make up that class meeting either on a different day or during a different class series.

LIABILTY RELEASE
 I, the undersigned owner/handler of the dog described above, do hereby agree that Dana Mongillo, City Critters LLC (dba Fuzzy Buddy’s Dog Daycare), and all City Critters LLC employees and agents will not be liable for any damage or loss resulting from failure of the dog to respond to any cues or behaviors taught to them by City Critters LLC or resulting from counseling and advice supplied to the owners/handlers of the dog.  The dog’s behavior now and in the future is solely the responsibility of the owners/ handlers of the dog.  Should any behavior on the dog’s part now or in the future result in damage to the owner’s property or that of a third party, or result in bodily harm to the owners or a third party, owner agrees to assume full responsibility for any and all such damage, and to absolve Dana Mongillo, City Critters LLC, and all employees and agents of City Critters LLC from any and all obligations to pay such damage to owner/handler or a third party.  I fully understand that attendance at a dog obedience class is not without risk to myself, my dog’s handler, my family, or my dog.  I understand that if my dog shows aggression toward people or other dogs in the class, or is disruptive to the class, he is not a suitable candidate for group classes.  In that event, I understand that we will be dismissed from class and a private session arranged.
I have read the cancellation policy and liability release.