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| Owner Name: |
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Others Attending: |
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| Street Address: |
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State: |
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| Day Phone: |
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Evening Phone: |
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| Dog's Name: |
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Age: |
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| Breed: |
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Gender:MF |
Spay/Neutered:Yes No
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| Vet:: |
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Vet Phone: |
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| *REQUIRED VET RECORDS: BORDETELLA, DISTEMPER, RABIES, FECAL EXAM. Proof required prior to first class.*: |
| How long have you owned your dog?
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| Do you use a crate? |
| How many hours a day is your dog alone? |
| What are your goals for this class? |
| How do you excercise your dog? |
| Please list any behavior issues that concern you. |
Family members are welcome to attend class, children under 18 must be accompanied by a parent or guardian. Payments may be made in person at Whiskers or credit card by phone. Please make checks payable to Whiskers Resort and Pet Spa.
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By clicking submit, I hereby release Whiskers Resort & Pet Spa (Staff & Grounds) from liability with regard to any injury, damage or illness which may be incurred. |