Ministik Hills Dog Training

Training for the Dog Living in Rural Communities

Registration Form

 Registration Form: You May Print & Complete Your Own Copy Prior to Class/Session  

Date  __________________  Class (circle)   Puppy Kindergarten    OR       Basic Manners

 

Handler Information

Name(s) __________________________________________________________

Address  __________________________________________________________

E-Mail Address _____________________________________________________

I wish to receive notifications from Ministik Hills about upcoming events  YES   NO

Phone ______________________(Home)  ____________________(Cell/Daytime)

 

Dog's Information

Name  ______________________________________  Age _________________

Breed  ______________________________  Date of Birth __________________

Sex  __________________________  Spayed/Neutered   Yes        No

Is your dog up to date on vaccinations?   Yes    No     Due: __________________

Please describe any medical conditions/behaviors that may influence his/her participation in

class or accessing a service.  __________________________________________________

_________________________________________________________________________

Where did you obtain this dog?  ________________________________________________

How old was your dog when you got him/her?  ____________________________________

Has this dog accessed professional training before?            Yes       No

If so, where, when and what type?  _________________________________________________________________________

_________________________________________________________________________


How did you hear about Ministik Hills Dog Training?  _________________________________________________________________________

What do you hope to accomplish with your dog?  __________________________________________________________________________

__________________________________________________________________________

 

Office Use:

Date Received ______________________________   Paid ___________________

Waiver Completed Yes No

Date of Class _______________________________    Time  ______________________

                          

Due to issues with NSF cheques, Ministik Hills Dog Training Requests that Fees be Paid in Cash 
Due to issues with NSF cheques, Ministik Hills Dog Training Requests that Fees be Paid in Cash 
Due to issues with NSF cheques, Ministik Hills Dog Training Requests that Fees be Paid in Cash 
Due to issues with NSF cheques, Ministik Hills Dog Training Requests that Fees be Paid in Cash 
Due to issues with NSF cheques, Ministik Hills Dog Training Requests that Fees be Paid in Cash