You will be contacted upon receipt of this form via e-mail (within 24 hours). If the class you are registering for is still open and you choose to pay by mail, you can send your payment to: VIP Dog TeamsP.O. Box 973,Camarillo Ca 93011 Your Name (required) Birth Year (required) Your Email (required) Phone Number (required) Street Address (required) City (required) Emergency Contact (required) Emergency Contact Phone Number (required) Preferred class time for classes starting September: 9-10 am (required) 12:30 Would you like to be waitlisted if the class is full? (required) YesNo Dog’s Name (required) Dog’s Date of Birth (required) Dog’s Breed (required) Dog’s Gender (required) MaleFemale Spayed/Neutered? (required) YesNo Up to date vaccinations? (required) YesNo Where did you get your dog from? Training a dog is a family responsibility and we hope that all members of the family can be involved. (required) How does your dog react around other dogs? Please elaborate on any incidents which include any of the following: growling, snapping, snarling, excessive barking at, lunging toward, or biting an individual. Describe below. Were incidents on or off-leash? (required) How do you discipline or correct your dog? (required) How did you hear about VIP Dog Teams? How would you like to pay? OnlineMail Note: If you choose online payment, you will be redirected to our payment form after clicking “Send”. Completing the payment form is required to ensure a space for you in one of our classes.