Owner and Dog Information

Owner's Name:
Home Phone:
Cell Phone:
Email Address:
Street Address:
Dog's Name:
 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. If you heard about us from a friend or a local business please let us know who so we can say "Thank you!" to them.
 Saw Sign Google Other Internet Search Coupon A Friend Other
*If you selected Other above, please specify:

Class Information

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 Jealous Happy Immature Defensive Shy Aggressive Pushy Active Hyper Possessive Mean
Please select any of the behaviors that might sometimes apply to your dog:
 Not Housetrained Destructive Doesn’t obey Demand Barks Eats non-food Items Separation Anxiety Submissive Growls Chews excessively Guards house/yard Runs away Predatory Mouthy Jumps Up Attacks dogs Fearful Bites Attacks people Dominant Anxious Barks excessively Food thief Worried Digs
Please select the four skills that your dog needs to improve on the most:
 Come when called Leave it Sit Polite greeting manners Polite leash manners Go to the rug Obey you around distractions Drop it Stay Down Wait at doors for you to go through first
Please add anything else we should know about your dog:

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.

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.