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 will be given instructions for sending your payment.

Your Name (required)

Birth Year (required)

Your Email (required)

Phone Number (required)

Street Address (required)

City, State, Zip (required)

Emergency Contact (required)

Emergency Contact Phone Number (required)

Preferred Class Date
September 9, 2017

Would you like to be wait listed 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

Do you have children and what are their ages? Training a dog is a family responsibility and 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.