Training Address

25 Centennial Rd Unit 14

Orangeville, Ontario L9W 1R1

Ph: 1-519-940-0941 Email:  puppytails@golden.net

---

PUPPYTAILS TRAINING & TTOUCH FOR ANIMALS inc

WORKSHOP REGISTRATION FORM

Name: _____________________________________________

Address: _______________________________________________

Phone Number: ( ) __________________________

Email: __________________________________________

WORKSHOPS: Please indicate which workshop you wish to attend:

2 DAY DOG: ____Sat/Sun September 6 & 7^th, 2008

COST PER PERSON FOR EACH WORKSHOP:

2 day Dog: $220.00

While attending the above workshop with my dog or myself, I do not hold PuppyTails Training & TTouch For Animals inc. responsible for any damage, loss or injury to myself or my dog.

Participant’s Signature:____________________________ Date:_____________________

PLEASE COMPLETE THE FOLLOWING IF YOU ARE BRINGING A DOG TO THE WORKSHOP

Dog’s Name: ________________________ Breed :_____________________

Sex: M____ F ____ Age:___________ Neutered:___________

For each of the following, please circle the appropriate choices:

1. How much activity does your dog have each day?

____Regular Walks ___Couch Potato ___Occasional Walks ___Active Throughout The Day

2. What things do you and your dog do together?

___ Agility ___Confirmation __ Flyball ___Obedience ___Tracking ___Therapy ___Field Work __ Family Pet

3. Special Considerations:

__ Aging ___Arthritis ___Car Sickness ___Hip Dysplasia __Other___________

4. Concerns:

___Aggressive to: People ___Dogs ___Cats

___Barks Excessively ___Bites ___Chews ___Digs ___Pulls On Leash ___Grooming ___Nail Trimming

___Jumps Up ___Fear Of Loud Noises ___Thunderstorms ___Other________________

5. Personality:

___ Aloof __ Afraid Of Strangers __Eager To Please __ Friendly __Lethargic __ Nervous __ Stressed __ Shy